- HCA Healthcare (Reston, VA)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of… more
- Humana (Washington, DC)
- … Medical Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Washington, DC)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Johns Hopkins University (Middle River, MD)
- …and facilitate prompt payment of claims . Communicates with providers regarding appeals and medical policy denials and provides appropriate proactive guidance ... be **r** esponsible for the collection of unpaid third-party claims and independent resolution of complex appeals ,...High School Diploma or graduation equivalent + Three years medical billing experience, insurance follow-up processing, or… more
- Johns Hopkins University (Middle River, MD)
- …Specialist III_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS ... payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect...etc.) as needed and submits to third-party payers. + Appeals rejected claims and claims … 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 ... payers to resolve issues and facilitate prompt payment of claims . Follow-up with insurance companies to collect...etc) as needed and submits to third-party payers. + Appeals rejected claims and claims … more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + **A… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts....& weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan with company matching +… more
- Intermountain Health (Washington, DC)
- … follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims , and all aspects of insurance follow-up and collections. + ... responsible for performing a variety of complex duties, including working outstanding insurance claims follow-up for no response, unresolved from payors, and/or… more
- Cardinal Health (Washington, DC)
- …billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and… more
- Cognizant (Washington, DC)
- …for discrepancies. + Communicate directly with payers to follow up on outstanding claims , file technical appeals , resolve payment variances, and ensure timely ... following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- Affordable Care (Towson, MD)
- …Dentrix, handling dental office finances, full insurance billing process (including claims submission, appeals , and denial management) and being able to ... do your job well. **Additional benefits include** , group medical and dental insurance , vision insurance...check in/out, discussing treatment and financial arrangements, handling the insurance billing process ensuring all claims are… more
- Cardinal Health (Washington, DC)
- …BS or equivalent experience in related field preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years ... the patient journey. + Support healthcare providers with Prior Authorization and Appeals submission to Insurance carrier. + Exhibit effective communication and… more
- Elevance Health (Washington, DC)
- …research, analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners. + ... + Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts proactive… more
- Evolent (Washington, DC)
- …culture. **What You'll Be Doing:** **Analyst, Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL programs. ... innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase… more
- Highmark Health (Annapolis, MD)
- …review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of ... dose and duration edits, quantity limits, step-care edits, generic sampling medical policy review and development, member facing outreach initiatives + Develop… more