- Amentum (Washington, DC)
- The CRST Project Supervisor - specific duties and responsibilities include: + Assist Claim Review Support Team Project Manager in all aspects of Claim Review Support ... This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team… more
- Sedgwick (Annapolis, MD)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor, Medical Malpractice (Professional Liability) To analyze complex ... or technically difficult healthcare/ medical malpractice liability claims ; to provide resolution...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Sedgwick (Baltimore, MD)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability REMOTE (NY Liceense Preferred) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Baltimore, MD)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Annapolis, MD)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... contract surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Intermountain Health (Annapolis, MD)
- …position. Contributes to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production ... **Job Description:** The Claims Examiner I is responsible for inbound calls...addition to completing reports and projects given by the supervisor . Effectively participates in meetings, training, and committees as… more
- Ryder System (Annapolis, MD)
- …by a professional staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues. Assists Director in ... a team of adjusters in the investigations, vehicle inspections, and resolves claims , as well as directs outside vendors, independent adjusters, experts, and other… more
- Spanish Peaks Mountain Club (Washington, DC)
- …Monitor performance and provide input on Associate performance. + Assist with all claims , respond to incidents, emergencies, fire alarms, medical aid, and ... considered. Please Click Here (https://www.myworkday.com/montage/d/task/2998$46522.htmld) to apply internally. Security Supervisor SUMMARY The Security Supervisor is responsible… more
- CareFirst (Baltimore, MD)
- …corporate attorneys regarding medical facts and issues relating to appeals or claims payment. Acts as a liaison and collaborates with attorneys and Medical ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members… more
- Lowe's (Laurel, MD)
- …pay, benefits, job changes, voluntary terminations, I-9 verification, unemployment claims , and workplace accommodations * Communicates clear expectations for ... gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status,… more
- Johns Hopkins University (Middle River, MD)
- …Specialist II_** to be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for which… more
- Johns Hopkins University (Baltimore, MD)
- …medical billing applications. + Experience with online resources to facilitate efficient claims processing. + Knowledge of medical terminology, CPT codes and ... Cycle Specialist will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Travelers Insurance Company (Annapolis, MD)
- …and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- Johns Hopkins University (Middle River, MD)
- … medical billing applications. + Utilize online resources to facilitate efficient claims processing. + Knowledge of medical terminology, CPT codes and ... Cycle Specialist_** to be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Johns Hopkins University (Middle River, MD)
- …II_** who will be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for which… more
- Travelers Insurance Company (Hunt Valley, MD)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... to support flexibility. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely… more
- Humana (Annapolis, MD)
- …coding certification from PHIA, AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, ... in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies... Claims Payment Policies + Metavance and CAS claims processing experience + Previous supervisor or… more
- Erickson Living (Baltimore, MD)
- …matters pertaining to previously processed payments or denials. Initiates appeals, correct claims submissions, or submits medical records in response to payer ... debit, and credits and oversees the tracking of all claims . This is not a remote or hybrid position....to insurance regulations and guidelines of each state where Medical Centers are located + Possess knowledge of Medicare,… more
- Walmart (Hanover, MD)
- …Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures, ... training. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and procedures are… more