- CVS Health (Annapolis, MD)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Gilead Sciences, Inc. (Baltimore, MD)
- …plans*. For additional benefits information, visit: https://www.gilead.com/careers/compensation- benefits -and-wellbeing * Eligible employees may participate in ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- CVS Health (Annapolis, MD)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Immigration and Customs Enforcement (Washington, DC)
- …level or equivalent performing these duties: Serving as a supervisor, lead, or senior specialist involved in human resources automated systems and reporting ... functional areas such as recruitment and placement, position classification, staffing, benefits , and employee performance; Provide senior level technical… more
- Travelers Insurance Company (Hunt Valley, MD)
- …to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist , has the ability to handle the most complex ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …technical aspects of the programs/projects. + Must have experience supporting senior Navy and DoD leadership liaison operations, providing facilities management. + ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Cardinal Health (Annapolis, MD)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... and/or billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits … more
- Medtronic (Washington, DC)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Philips (Washington, DC)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …Expert to join our MCICOM contract in Arlington, VA. The Subject Matter Specialist will be responsible for will assist in providing data, writing technical ... resources effectively and, at times, with minimal supervision. **Responsibilities** + Senior expert with extensive knowledge and experience developing and applying… more