Responsible for timely research and resolution of insurance credit balances on highly complex cases. Performs necessary functions to refund overpayments from insurance carriers within 30 days of receipt. Manage work queues related to insurance overpayments and insurance credit balances. Identify trends, potential resolutions and escalate to manager. Evaluate accuracy of c

Responsible for timely research and resolution of insurance credit balances on highly complex cases. Performs necessary functions to refund overpayments from insurance carriers within 30 days of receipt. Manage work queues related to insurance overpayments and insurance credit balances. Identify trends, potential resolutions and escalate to manager. Evaluate accuracy of c

The Revenue Cycle Operations and Quality Assurance Trainer will design, develop and facilitate the training and development programs. Should possess strong presentation skills in order to effectively deliver training and orientation sessions to employees. Maintain documentation of training activities. Handle registration and training logistics. Prepare and administer comp

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation i

The Supervisor of Coding Audits and Education supports the supervision, management, evaluation, and improvement of operations related to coding education, audits, and denials. Leads the Coding and Auditing team responsible for evaluating the appropriateness and medical necessity of services and procedures billed based on supporting documentation, as well as the appropriat

Responsible for collections and/or refunds of highly complex cases. Performs functions necessary to facilitate payment recovery including research, appeals, and follow up. Identify trends, potential resolutions and escalate to manager. Provide data related to reimbursement reductions, overages, delays, and non payment. Evaluate accuracy of contract modeling, communicate f

The Community Affairs Department within the Child Health Advocacy Institute at Children's National elevates community health needs and community benefit, facilitates partnerships between the health care system and our community, and works across sectors to address policy and system issues to improve health equity for all children. We accomplish this through the following

The Clinical Defense Auditor will collaborate clinically with the patient care team and third parties to determine appropriateness and medical necessity of emergency care, admissions and specialty referrals. Qualifications Minimum Education Bachelor's Degree RN, BSN preferred or extensive clinical experience in utilization management for healthcare. (Required) Minimum Wor

Collects monthly effort reports. Manages all federal, non federal and operational funding in each investigator's portfolio to assist in the strategic decision making process. Assists in fiscal year end closeout process for grant funding and participates in annual A 133 audit, including award preparation and auditor interviews. Drafts policy. Prepares, reviews, approves an

Performs hearing screening tests on newborns and infants using special computerized technological equipment, according to established protocols. Work location Silver Spring, MD and Germantown, MD Qualifications Minimum Education High School Diploma or GED Or equivalent. (Required) Minimum Work Experience 1 year related experience preferably in pediatric clinical support o

The Biostatistician will be an assistant, associate or full professor level position depending on current rank and experience. The Biostatistician will collaborate with investigators on all facets of the research process from study design and proposal development, study conduct and information management, data analysis and results interpretation, as well as to develop res

The Neuropsychologist is responsible for the care of patients in the hospital and clinics, as well as research, educational and advocacy initiatives as determined by the Division Chief and/or Executive Director. Qualifications Minimum Education Medical Doctor (M.D.) Medical degree from an accredited medical school. Fully licensed and credentialed attending staff category

This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees within their department as well as other departments.

Schedule, pre certify, verify and document procedures for ancillary services and minor surgical treatments. Serve as a liaison between call center, clinics, and external providers. Provide accurate documentation following all established protocols to register and schedule patients' appointments by telephone. Ensure that appointments are scheduled in accordance within depa

The PMO Director plays a critical role in overseeing the Project Management Office (PMO) including portfolio management as well as leading a team of project and program managers. Deep understanding of healthcare industry dynamics, strong project management expertise, and a proven track record of driving complex IT initiatives to successful completion. Ability to articulat