Claims processing jobs in Baltimore, MDCreate job alerts

Otsuka America Pharmaceutical, Inc. has launched a new customer engagement approach designed to better deliver on patient, caregiver and HCP expectations in an evolving healthcare environment. The new model is built around where patients get their care-locally, with the intent to better serve pat...

Description - Home - Search Jobs - Job Description Nurse - Case Management Contract: Baltimore, Maryland, US Salary: $46.00 Per Hour Job Code: 356374 End Date: 2024-12-27 Days Left: 22 days, 2 hours left Apply About the Role: - The Clinical Appeals Specialist completes research, basic an...

Supporting and implementing infrastructure used for business mission critical applications including Claims Processing, Enrollment, Financial and Portal Websites and many other applications.The current public/private server environments consist of.Azure IaaS Linux/Windows Servers – 90%.AWS IaaS L...

... Claims Act, ensuring no private malpractice insurance is required. * Continuing Medical Education (CME) : Access to VA training resources and potential support for CME activities. Application Process

Keep records of customer interactions, process customer accounts and file documents * Follow communication procedures, guidelines and policies * Take the extra mile to engage customers * Aid with ...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

As the Claims Adjuster, you will be responsible for handling the commercial auto and general liability claims, ensuring efficiency, accuracy, and compliance with company policies and industry ...

Recent rulings have emphasized the need for faster resolution of these claims and improvements in special education services and payment processes. This initiative requires dedicated attorneys to ...

... any claims requiring overrides or interventions; troubleshoots insurance claim rejects; and ... and accurate processing of prescriptions in the pharmacy queues. * May occasionally be asked to ...

Covered under the Federal Tort Claims Act, ensuring no private malpractice insurance is required ... Application Process: If you are passionate about providing world-class care to Veterans and ...

Familiarity with HL7 interfaces and ETL processes desired. * Prior experience with one or more of ... Prior experience in healthcare and with clinical claims data preferred. * Degree preferred.

... Claims Act, ensuring no private malpractice insurance is required. * Continuing Medical Education (CME) : Access to VA training resources and potential support for CME activities. Application Process

Processes cash, check, credit card, and payroll deduction transactions; secures appropriate ... any claims requiring overrides or interventions; troubleshoots insurance claim rejects; and ...

Improving processes where needed. * Liaises with freight forwarders to resolve issues such as time ... Administers freight claims and coordinates directly with the freight forwarders to ensure ...

... opportunities in processes and systems; perform ad-hoc financial reporting and analysis for ... claims. Provide key accounting input to management ensuring the effectiveness of company policies

Claims Associate is responsible for assisting Wye River Insurance, a Bozzuto affiliate, with general claim reporting for auto, property, general liability and workers compensation claims ...

... claims resolution and reimbursement. Must be able interpret explanation of benefits and have a ... process. Responsible for reconciliation of reports to SMS and information that was posted. 5. ...

... claims. * Track issues on a daily basis, make sure they are documented in MTA and Project systems, and track to closure. * Be part of the Failure Review Board for Railcar and help establish a process ...

Either Medical Payment Posting experience OR Medical Billing experience OR Claims experience ... Payments must be processed within department set standards from time of deposit. Assists in ...

Receiving, processing, verifying, and reconciling invoices. * Comparing system reports to balances ... Monitoring payroll expense claims, including salary advances and overtime payments. * Reconciling ...

The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific ...