- Sumitomo Pharma (Annapolis, MD)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Annapolis, MD)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Annapolis, MD)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Johns Hopkins University (Baltimore, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Prepares appeals documentation and incorporates results of ... based on analysis of denial trends to the / Production Unit Manager . _Professional & Personal Development_ + Participate in on-going educational activities. +… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... for escalated issues. + Identifies and informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims and non-standard… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... pulls EOB batches. + Identifies and informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims. + Utilizes online… more
- Johns Hopkins University (Middle River, MD)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and update patient registration information (demographic ... to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims. **Special Knowledge,… more