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claims in Baltimore

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  1. Lead Health Data Analyst at Mitre Corporation

    Experience with Medicare claims data:. Successful candidate will have non-academic experience performing hands-on analysis using SAS on Medicare claims data....

  2. Workers' Compensation Paralegal at Belsky, Weinberg & Horowitz (www.legalteam.net)

    BW&H is looking for a highly skilled and experienced paralegal with strong secretarial and people skills to assist one busy senior partner with all aspects of...

  3. Senior Resolution Manager (Claims Adjuster Senior) at Arthur J. Gallagher & Co

    High school diploma 5 or more years related claims experience required Appropriately licensed and/or certified in all states in which claims are being handled...

  4. Medical Billing Specialist at Symphony Placements

    Submitting claims to insurance. Investigating rejected claim to see why denial was issued. Following up to see if a claim is accepted or denied....

  5. Claims Field Adjuster I Baltimore MD at Assurant

    If you are focused on customer service, enjoy helping people and can make decisions in the best interests of the insured and the company, this may be the job...

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    1. RN Utilization Review Nurse

      Utilization Review Nurses – Med Review Outpatient and InpatientThis position is located in Glen Burnie, Maryland with one of Maryland's top employers.The Utilization Review Nurse is responsible for receipt, screening and authorization of pre-treatment/service inpatient and outpatient services for the client membership, coordinating access with providers for the most cost effective, quality ...

    2. MEDICAL CLAIMS PROCESSOR II & III

      FACETS EXPERIENCE A PLUS!!!  CLAIMS PROCESSOR II PURPOSE:Provides timely and accurate processing and adjudication of claims at an expert level. Processes highly complex claims. Researches and processes highly complex and non-standard claims adjustments and file corrections for member accounts, which may involve various company products, such as indemnity, PPO, HMO, POS, etc. QUALIFICATION ...

    3. MEDICAL CLAIMS PROCESSOR II & III

      FACETS EXPERIENCE A PLUS!!!  CLAIMS PROCESSOR II PURPOSE:Provides timely and accurate processing and adjudication of claims at an expert level. Processes highly complex claims. Researches and processes highly complex and non-standard claims adjustments and file corrections for member accounts, which may involve various company products, such as indemnity, PPO, HMO, POS, etc. QUALIFICATION ...

    4. Group Employee Benefits Account Manager

      The Group Employee Benefits Account Manager is a terrific role for an experienced client manager who understands the management of self-funded group medical plans and can help the lead consultant with fulfilling a host of client service responsibilities ranging from consulting with the insured on coverage and pricing options to tackling strategic communication with underwriters during the ...

    5. Reimbursement Specialist - Homecare

      Maxim Healthcare Services is one of the leading providers of medical staffing, home health and wellness services in the United States. Founded in 1988, Maxim has rapidly expanded to include 12 divisions and over 400 branch offices in 44 states and the District of Columbia. We have earned a position as an innovative leader in the healthcare industry through our emphasis on quality patient care ...

    6. Reimbursement Specialist - Homecare

      Maxim Healthcare Services is one of the leading providers of medical staffing, home health and wellness services in the United States. Founded in 1988, Maxim has rapidly expanded to include 12 divisions and over 400 branch offices in 44 states and the District of Columbia. We have earned a position as an innovative leader in the healthcare industry through our emphasis on quality patient care ...

    7. Administrative Assistant

      Candidate should have a minimum of 3 yrs of strong administrative assistant experience in a fast-paced, high volume environment. Education can replace the years of experience. This is a challenging job that requires dedication, self-motivation, reliability, supervisory skills, and customer service talent. The Assistant will work on a 3-person team for the Sr. Attorney and President of the law ...

    8. Audit and Repayment Analyst

      Maxim Healthcare Services is currently seeking an Audit and Repayment Analyst for its headquarters location in Columbia, MD. The Audit and Repayment Analyst examines billing packets and timecards for accuracy and billing readiness, reviews and responds to audits, manages the repayment log and processes Compliance and Legal-defined billing and repayment recommendations, and trains new ...

    9. (FT) Pharmacy Tech / Shift Supervisor- Spanish speaking a plus!!

      Responsible for the management of the prescription drug dispensaries at participating healthcare facilities. Manages Dispense Specialists and dispenses pre-packaged drugs to patients of a Doctor's office at the direction of the Doctor after adjudicating the claim to managed care.Supervisory Duties:1. Coordinate new employee hiring and termination;2. Training and performance reviews for ...

    10. Claims Representative / $70,000 / up-beat atmosphere

      Outstanding opportunity for an experienced insurance claims individual with previuos experience working within an insurance agency environment. Will primarily handle commercial claims but also handle some personal lines claims. Great atmosphere, pleasant working environment. Great benefits and salary.  Don't let this one get by you!!! Apply today

    11. Nurse Case Manager - Hanover

      Nurse Case Manager I - High Risk OB, Antepartum or PostPartum 1 year contract employment opportunity with our large health insurance client based in their Hanover MD officeSUMMARY: Perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize ...

    12. Parts & Tire Position - Industrial Equipment - Customer Service

      TIRED OF WORKING WEEKENDS AND EVENINGS????? ~~Our career opportunities and training are limitless for the right individuals. Keep reading to find out how you can be a part of our team. Major Tasks, Responsibilities and Key Accountabilities - Answer incoming parts calls and process orders. - Process parts orders for road and shop mechanics. - Assist walk-in customers. - Assist in all ...

    13. Reimbursement Specialist — Flu

      Maxim Healthcare Services' Corporate Headquarters is currently seeking a Reimbursement Specialist to process flu-program Medicare and HMO claims, reviews unpaid accounts to determine status, and takes appropriate action to ensure payment.Essential Duties and Responsibilities: Processes flu claims for Medicare and HMO insurances Reviews all claims for compliance and completeness for claims ...

    14. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company:SCA is a claims management firm that has been a leading provider to the insurance industry since 1979.SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your existing ...

    15. Medical Billing Specialist / Accounts Receivable

      Medical Billing/ Accounts Receivable Specialist (Annapolis) Our private medical practice is seeking an experienced Medical Biller to join our team. In this role, the selected candidate's responsibility will be to work directly with insurance companies and patients to get claims processed and paid; review and appeal unpaid and denied claims. In addition, they will research and follow up with ...

    16. CUSTOMER SERVICE REPRESENTATIVE CSR

        This Customer Service Representative (CSR) is a vital customer service person We are looking for enthusiastic, career-minded, motivated individuals to become independent  This position requires handling incoming complex service inquiries via telephone, internet or written correspondence. Our ability to handle these inquiries and claim adjustments in a positive manner  Fundamental ...

    17. Reimbursement Specialist - Homecare

      Maxim Healthcare Services is one of the leading providers of medical staffing, home health and wellness services in the United States. Founded in 1988, Maxim has rapidly expanded to include 12 divisions and over 400 branch offices in 44 states and the District of Columbia. We have earned a position as an innovative leader in the healthcare industry through our emphasis on quality patient care ...

    18. Paralegal

      Law firm in Downtown Baltimore has an opening in its Worker's Compensation department. The ideal candidate is a self-starter, is familiar with Worker’s Compensation claims, and thrives in a fast-paced environment. Responsibilities include: - Handle case(s) start-to-finish - Draft legal documents - Manage case calendar and schedule depositions - Prepare for trial - Assist attorney with ...

    19. Automation Test Engineer

      Long Term Federal Project H1b accepted We are seeking an Automation Test Engineer with extensive work experience is required to analyze user stories and develop test plan, test scenarios, and test scripts for an application to process disability claims. The qualified candidate will also create test data analysis and perform end-to-end system testing for interface between multiple ...

    20. Sr Java Developer

      Federal long term project H1b accepted   We are seeking a Senior Java Developer with extensive work experience is required to design, develop and test application/ interfaces and create technical documentation for an application to process disability claims. The qualified candidate should also have strong analytical, problem solving, and communication skills with a keen attention to detail ...

    21. Java Developer - Mid Level

        H1b are also accepted LONG TERM FEDERAL PROJECT   We are seeking a Java Developer with extensive work experience is required to design, develop and test application/ interfaces and create technical documentation for an application to process disability claims. The qualified candidate should also have strong analytical, problem solving, and communication skills with a keen attention to ...

    22. High Value Associate

      PDS Tech is seeking a High Value Associate for an open position in Laurel, MD.In your role, you will: Be responsible for duties to include: auditing high value claim shippers, locating high value packages in the center or hub and ensuring proper handling.May also contact destination hubs or centers to notify them of the status of high value packages.Additional duties may include performing ...

    23. Automotive Accounting Office Manager - MileOne Automotive - Full Time

      MileOne Automotive is currently hiring an Office Manager for our busy dealership in the Baltimore area. The Office Manager processes and generates financial data for all dealership departments, which together represent the accurate financial condition of the business. This person also provides accurate reporting to the dealer/general manager and is responsible for accounting office and ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    24. Office Administrator

      Well established 29 year old Arbutus company has immediate opening for an office administrator:   Requirements: Assisting with homeowners' insurance claims Scheduling service Invoicing insurance companies Data entry Payroll preparation Qualifications Hours Monday- Friday 8am-5pm Ideal candidate will have 5+ years office experience in insurance or construction service industry ...

      1. Construction Manager at The Johns Hopkins Applied Physics Laboratory

        Conduct preliminary evaluation of change requests and claims; Manage and control Construction Change Directives (CCDs) and document all relevant steps in...

      2. Insurance Staff Position - State Farm Agent Team Member (Part Time) at Wynn Agency - State Farm Agent

        Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing...

      3. Sr Analyst, Data at General Dynamics Information Technology

        Experience with Medicaid and Medicare claims data. Performs data analysis, interpretation and management duties....

      4. Insurance Account Representative - State Farm Agent Team Member (Part Time / Property and Casualty Insurance Focus) at Aja Green - State Farm Agent

        Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing...

      5. Health Program Integrity Data Analyst at Mitre Corporation

        Experience developing/designing statistically sound analyses using claims data. Experience with Medicare, Medicaid or other public claims data is desirable....