- TEKsystems (Glen Burnie, MD)
- Claims Supervisor 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… 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
- Carrington (Owings Mills, MD)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA ... home retention claims timely and accurately according to investor/insurer guidelines. Perform...Perform routine follow-up on a daily basis. + Keep Supervisor informed of all trends and problems including, but… more
- Johns Hopkins University (Baltimore, MD)
- …+ Knowledge of dental office procedures. + Knowledge of insurance plans and claims processing. + Knowledge of MS Office. + Customer service orientation. **Minimum ... + Supervisory experience in a medical facility preferred. Classified Title: Clinic Supervisor Job Posting Title (Working Title): Dental Clinic Supervisor … more
- Air National Guard Units (Middle River, MD)
- …POSITION. This National Guard position is for a AIRCRAFT ORDNANCE SYSTEMS MECHANIC SUPERVISOR , Position Description Number NGD1738P01 and is part of the MD 175th ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members ... 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
- CareFirst (Baltimore, MD)
- …technologies, systems, and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience in industry ... best practices for project management (including resource estimating, tracking, and metrics), business/systems analysis, and software testing. Demonstrated competence with full software development project life cycle. + Must be able to evaluate demands on a… 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
- Travelers Insurance Company (Hunt Valley, MD)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...independent decisions on most assigned cases without involvement of supervisor . + Openness to the ideas and expertise of… 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)
- …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
- Crawford & Company (Baltimore, MD)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...to ensure a quality product. + Reviews cases with supervisor monthly to evaluate files and obtain directions. +… more
- TEKsystems (White Marsh, 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
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- …precedents, will receive initial instructions, equipment requirements, and advice from supervisor or engineer as needed, and will perform recurring work ... other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… 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
- Social Security Administration (Woodlawn, MD)
- …in nature and employees work under the general direction of the designated supervisor , who sets the overall objectives and deadlines. Assignments at this level are ... and resolve problems that occur. During this period of development, the supervisor or higher-level employee provide instructions in terms of expected results and… more