Perform Medicare claims processing, claims reviews, and the adjudication of provider claims to administer and monitor contracts with Medicare contractors. Review and provide analysis for claims/transactions processing activities, claims reviews, and program claims related processing systems used to ...
The Medical Economics Specialist will:. Experience with analysis of Healthcare Claims data. Background in Managed Care / Health Plan claims. ...
As a Health Insurance Specialist (Claims Processing & Systems), GS-0107-13, you will perform claims processing and systems work related to national health insurance programs, such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private health insurance. Perform Medicare cl...
A recognized healthcare organization in Maryland is currently seeking a new Medical Economics Specialist to join their team in a Remote capacity. Collaborating with a group of Healthcare Economics professionals, the Medical Economics Specialist will be responsible for supporting the organization’s g...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve personal lines property damage claims on the phone and/or in person. Maintains and develops current knowledge of assigned insurance lines, court decisions ...
Manages disposition of claims and issues appropriate payments on all assigned claims. Berkley Financial Specialists, a member of. Management Liability/Fidelity Claim Specialist. Investigates all assigned claims and analyses coverage applicability/limitations. ...
As a Commercial/Specialty Casualty Adjuster, you will be responsible to resolve all aspects of 1st and 3rd party injury claims of low to moderate complexity for personal lines as well as our commercial claims. Handle 1st party exposures to include Medical Payment coverage, PIP, Uninsured Motorists, ...
The Claims Specialist is responsible for investigating, evaluating, and managing workers’ compensation, auto, liability, property, and other insurance claims through the entire lifecycle of the claim. Obtain incident reports, photographs, video footage, witness statements, and other supporting docum...
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
We are seeking a meticulous Medical Billing Specialist for an exciting role. Based in BALTIMORE, Maryland, you will play a crucial role in managing and maintaining accurate medical billing and collections processes for our organization. Minimum 2 years of experience in medical billing or a related f...
As a Billing Specialist, you'll serve as a subject matter expert in insurance requirements, authorizations, appeals, and patient navigation. Manage and maintain patient invoicing, billing, and collecting of payment. Financial Calls: Handle financial inquiries and communicate with patients regard...
Responsible for Billing and Coding, Pre Certification and Credentialing. Has knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field. Maintain open communication with the insurance verification team, billing department and office support ...
Customer Service Representative. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. In this position, you are responsible for performing all tasks and communication related to intake of patient information concerning ...
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry ...
The Product Manager works with business owners and creates, maintains and communicates the Product Vision and Product Roadmap to develop technical changes to a moderately large / complex business solution. The Product Manager owns the outcomes at the Agile Release Train (ART) level, breaking down th...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
Maxim Healthcare Corporate Services' is currently seeking an Open Credit Specialist that will research payment credits and takes appropriate actions based on type or status. ...
The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure ac...
The Customer Service Representative (CSR) will coordinate customer orders from purchase order (PO) receipt to delivery by developing relationships with customer logistics teams, carriers and vendors. American Wood Fibers (AWF), a rapidly growing manufacturer of consumer and industrial products sold ...
Our client is seeking to add a Commercial Auto Claims Examiner. Work proactively towards claims resolution with defense counsel and clients, while adhering to audit requirements and resolving claims in a timely manner. This person would be responsible for handling moderate Commercial Auto and some G...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
Our client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Baltimore office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic r...
Family Dollar - 1 SHIPPING PL [Retail Associate / Cashier / Team Member] As a Customer Service Representative at Family Dollar, you will: Be responsible for providing exceptional service to customers; Greet customers and assist them with selection of merchandise; Complete cash register transactions ...
If you enjoy helping others and are a compassionate, customer-focused individual, then apply to our Pasadena insurance agency today! Our reputable insurance agency is looking for an exceptional insurance personal lines customer service representative to join our team. Provide exceptional customer se...
JMT's Accounting Department is seeking a team-orientated invoice billing specialist to join their group! The successful candidate will be responsible for all aspects of accounting to invoice clients for project work. Ensure all billing transactions are completed and accurately recorded in the Accoun...