- TEKsystems (Glen Burnie, MD)
- Description The Claims Supervisor is responsible for managing the claims inventory, and resources through timely and accurate processing of higher level ... claims and to manage the processing of claims adjustments through the correction of processing error and handling overpayments or underpayments. PRIMARY… 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
- 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...any suspected resident financial abuse or billing fraud to supervisor immediately. QUALIFICATIONS/EXPERIENCE REQUIREMENTS + High School graduate or… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for ... educates corporate attorneys regarding medical facts and issues relating to appeals or claims payment. Acts as a liaison and collaborates with attorneys and Medical… more
- Johns Hopkins University (Baltimore, 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
- Johns Hopkins University (Baltimore, MD)
- …Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing ... payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts...appeals to a higher level specialist. + Informs the supervisor / Production Unit Manager of issues or problems… more
- Johns Hopkins University (Middle River, MD)
- …Revenue Cycle Specialist II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and ... 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 (Middle River, MD)
- …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 ... payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts...appeals to a higher level specialist. + Informs the supervisor / Production Unit Manager of issues or problems… more
- Johns Hopkins University (Middle River, MD)
- …unit team. This person will be responsible for the collections of unpaid medical insurance claims , and follow up on unpaid medical claims , as well as appealing ... reports, and the Paperless Collection System (PCS) to identify unpaid claims for collection/appeals. + Communicates with third-party payers, patients, physicians,… 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
- Allied Universal (Laurel, MD)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Erickson Living (Baltimore, MD)
- …also maintains records of invoices, debit, and credits and oversees the tracking of all claims . This is not a remote or hybrid position. **** **How you will make an ... impact:** + Review claims for coding and billing accuracy. Performs Insurance follow-up...new methods and procedures; accepts direction and feedback from supervisor and follows through appropriately + Protects the organization's… more
- Product Connections (Laurel, MD)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- TEKsystems (Baltimore, MD)
- …service skills. Relays any patient suggestions and complaints to immediate supervisor for consideration. Provides answers for patient's questions in a reasonable ... -Effectively updates and/or views data in all accessible systems. -Assists supervisor with new staff training -Performs appeals process when appropriate. Skills… more
- Walgreens (Catonsville, MD)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Baltimore, MD)
- …and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with… more
- Air National Guard Units (Baltimore, MD)
- …to ensure success in meeting goals and objectives. Provides advice to supervisor on significant issues and problems related to work accomplishment. Establishes ... detailed and comprehensive reports with any corrective action taken to supervisor . Follows-up to ensure complete and quality resolution of discrepancies. Assesses… more
- Walgreens (Lutherville, MD)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- Walgreens (Towson, MD)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Cummins Inc. (Westminster, MD)
- …required documentation, such as work completed documentation, time sheets, warranty claims and quality forms, via handwritten forms or business system input ... policies, procedures and legislation and reports any issues / incidents to their supervisor . **RESPONSIBILITIES** **To be successful in this role you will need the… more