- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Annapolis, MD)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Baltimore, MD)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Owings Mills, MD)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Aerotek (Hanover, MD)
- …of the Workers Compensation department. This includes direct supervision of the Claims Review Specialist, Return to Work Specialist and Compliance Analyst. ... effectively and efficiently. + Oversees large loss, settlements, and reserves over Claims Review Specialist authority + Leads and manages special projects… more
- Ryder System (Annapolis, MD)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members ... resolution of appeals and reconsiderations, including Regulatory complaints and External review requests. Accountable for quality review and interpretation of… more
- Cummins Inc. (Glen Burnie, MD)
- **DESCRIPTION** We are looking for a talented Service Supervisor to join our team specializing in Service for Cummins, Inc. in Glen Burnie, MD. **In this role, you ... materials, equipment, and employees to ensure safety, quality, and efficiency. + ** Review Quotes** : Ensure accuracy of quotes before communicating to customers and… 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 ... Communicates with payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect outstanding accounts for which… more
- Cardinal Health (Annapolis, MD)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- UIC Government Services and the Bowhead Family of Companies (Adelphi, MD)
- …often without the availability of immediate supervisory guidance. + Keeps the supervisor advised of progress, but receives little review during progress ... precedents. Receives initial instructions, equipment requirements, and advice from supervisor or engineer as needed; performs recurring work independently; work… more
- Walgreens (Baltimore, MD)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Cardinal Health (Annapolis, MD)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Walgreens (Brooklyn, MD)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Baltimore, 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
- Cardinal Health (Annapolis, MD)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Edgewood, MD)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- CVS Health (Annapolis, MD)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more
- Walgreens (Elkridge, 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
- Army National Guard Units (Havre De Grace, MD)
- …of financial services, including budgeting, accounting, financial analysis, operational review , accounts payable, military pay, civilian pay, travel, government ... as intended. Also serves as first and second level supervisor .(8) Performs other duties as assigned. Works under the...provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide… more