- University of Maryland, Baltimore (Baltimore, MD)
- …Department of Police and Public Safety* is currently recruiting for a* Senior Human Resources Specialist **OR**Human Resources Generalist.*The selected candidate ... should be a strong commitment to equity and inclusion. *PRIMARY DUTIES* * Senior Human Resources Specialist :* * Performs day-to-day human resource activities… more
- CVS Health (Washington, DC)
- …it all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Fujifilm (Washington, DC)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Travelers Insurance Company (Hunt Valley, MD)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CVS Health (Washington, DC)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Immigration and Customs Enforcement (Washington, DC)
- …multiple duties at the same time. As the Supervisory Human Resources Specialist (Chief, Executive Services Unit), you will perform the following duties: Plan, ... program, develop, and directs ICE-wide Senior Executive Services (SES) program objectives and initiatives to...met by the closing date of this announcement. Qualification claims will be subject to verification. National Service Experience… more
- CareFirst (Baltimore, MD)
- …Credentialing department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting initiatives through statistical ... analysis, cost/ benefit modeling and analysis. Develop and present business cases...(eg, hospitalist, diabetes education, reduction of authorizations, reduction of claims appeals, etc.). Participate in internal and external committees… more
- Highmark Health (Washington, DC)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Washington, DC)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Washington, DC)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Ascension Health (Halethorpe, MD)
- …**Salary:** $32.71 - $44.25 per hour **100% On Site in Halethorpe, MD** ** Benefits ** Paid time off (PTO) Various health insurance options & wellness plans Retirement ... benefits including employer match plans Long-term & short-term disability...the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and… more