Denials Mitigation Specialist I - Hybrid Claims Resolution
MedStar Health Corporate Office
MedStar Health in Maryland is seeking a Denials Mitigation Specialist for a full-time dayshift with a hybrid schedule (about 3 on-site days per week) and base location in Nottingham, MD. The role involves reviewing technical denials, inpatient and outpatient claims, identifying root causes, and coordinating appeals. You will manage the denial process, provide monthly status updates, develop training opportunities, and work with Physician Practices, Patient Access, and Hospital Ancillary #J-18808-Ljbffr
$20.57 - $36.27 per hour
...dayshift position offering a hybrid work schedule with... ...Under general direction the Denials Mitigation Specialist will provide ongoing review... ...inpatient and outpatient claims. The specialist will review... ...promotes a team approach to resolution of denials and mitigation...ClaimsFull timeContract workWork at officeDay shift3 days per week$18.95 - $26.82 per hour
...Work Schedule: Day Shift | Work Type: Hybrid What to expect. Under general supervision... ...payments, contractual adjustments, and denials within practice management system. Apply... ...policies, specifically insurance payments, claim adjustment reason codes (CARC),...ClaimsWork at officeShift workDay shift$75k - $85k
...Compliance InvestigatorHelps to mitigate legal exposure, insurance and claims fraud risks to the organization by enforcing company policies, procedures and... ...CFCS, ACSS, or similar designation.Working Conditions:Hybrid office environment: 3 days in office (Tues/Wed/Thurs)...ClaimsContract workRemote work- ...care to their clients. As an RCM Specialist II, you will serve as a trusted... ...unpaid insurance and healthcare claims with a focus on accuracy and timely resolution. Research and resolve claim issues... .... Identify trends, denials, and reimbursement challenges while...ClaimsWork at office
- ...in Maryland is seeking a Patient Accounts Specialist to join the Billing team. The role... ...proficiency; on-site training for 90 days, then hybrid with alternating weeks on-site.... ...Responsibilities include daily 837i/837p balancing, claim rejections, and reconciliation, plus...Claims
- Excelsia AMM in Middle River, MD is seeking a Revenue Cycle Specialist I to manage accounts receivable and billing inquiries on-site. You will review unpaid AR, resubmit claims, and coordinate with attorneys, adjustors, and patients to resolve billing questions. Ideal...Claims
- ...within one seamless, connected system. Our diverse team of medical specialists offers a wide range of treatment services, covering medical,... ...in all databases (where applicable) for accuracy Resubmit claims if necessary. Forward the following adjustments /...ClaimsFull timeTemporary workWork at officeLocal area
- Excelsia Injury Care in Middle River, MD is seeking a Revenue Cycle Specialist I to support our medical billing and collections workflow. You will review accounts receivable, follow up on unpaid claims, and ensure accurate data across all systems, including Artiva, Windows...ClaimsWork at office
$18.7 - $32.72 per hour
...has an opportunity for a Patient Accounts Specialist to join the Billing team with MedStar's... ...period, the position will transition to a hybrid work schedule, with alternating weeks working... ...Specialist productivity Electronic claim rejections Processing of paper claims with...ClaimsFull timeMonday to Friday$179.3k - $200.4k
..., including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting... ...and ensure timely resolution of delivery, operational... ...Oversee risk identification, mitigation planning, and issue... ...data, AI, network, and hybrid cloud infrastructure. These...ClaimsLocal areaRemote workVisa sponsorship- ...State Farm invites applications for a Baltimore Claim Litigation attorney in Towson, MD. The hybrid role combines in-office and remote work with ownership of civil defense files, trial strategy, and client interactions. Qualified candidates will have a J.D. from an...ClaimsWork at officeRemote work
- ...Insurance Claim Follow Up Representative Insight Global is looking for an Insurance Claim Follow Up Representative to support a large... ...Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issuesnot clinical denials or patient...ClaimsContract work
$75k - $100k
...chargeback policy and process, chargeback resolution and deduction process. • Identify... ...accounts to Sales, Account Services, FP&A, Claims & Charge Backs Teams • Engage... ...Work Schedule: This role follows a hybrid work schedule, requiring 4 days in-office...ClaimsFull timeWork at officeLocal areaRelocation$52k - $60k
...alternative application process. Purchasing Specialist Full Time Middle River, MD, US 1... ...performance metrics and oversee satisfactory resolution of complaints and open issues. Keep... ...Standard Office Environment until proficient. Hybrid work location schedules are available...Full timeFlexible hours- ...Title: Lead Java Developer Location: Hybrid role- At least twice per month as a group... ...team responsible for critical claims processing systems serving the Federal Employee... ...functionality updates, and system defect resolutions. • Collaborate with cloud systems hosted...ClaimsContract workH1bWeekday work
- ...Description Company Description At Fusion Claims Consultants, we embody the spirit of... ...and simplify the complexities of claims resolution. We're committed to efficiency,... ...transparency, and innovation. This full-time, hybrid role, based in Belcamp, MD, offers the flexibility...ClaimsFull timeRemote workFlexible hours
- ...West Health System is seeking an experienced and passionate HIV Specialist/Nurse Practitioner to provide exceptional clinical care while... ..., sick leave, and personal Ten (10) paid holidays Federal Tort Claims Act (FTCA) malpractice coverage provided at no cost to the provider...ClaimsWeekday work
- ...medical record documentation to support accurate and compliant claim submission.Reviews clinical documentation and abstracts required... ...or AHIMA upon hire.Successful completion of Outpatient Coding Specialist I diagnosis and CPT coding pre-employment assessment upon hire....ClaimsWork experience placementLocal areaRemote workMonday to Friday
$19.49 - $32.16 per hour
...Join Our Team at Mercy Medical Center Now Hiring an AR Specialist! Mercy Medical Center is honored to be recognized by Newsweek as one of... ...process, which includes the review and preparation of all hospital claims. Ensures the hospital bills a clean claim to the correct third...ClaimsTemporary workWork experience placementImmediate start- ...and adjusting residential and commercial property claims. Our focus is high quality claim investigation and resolution. We're seeking a conscientious individual with... ...required by client.Prepares settlement letters, denial letters, Reservations of Rights and other letters...ClaimsTemporary workFor contractorsLocal area
$43.34k - $79.46k
...assisting with day-to-day benefit administration inquiries and issue resolution. This role serves as a foundational position for developing... ...related to benefit administration, enrollment, billing, and claims. Uses established procedures and reference materials to provide...ClaimsWork experience placementImmediate start$85k - $90k
...writing, and advocacy skills. Enjoy hybrid flexibility while staying connected to colleagues... .... Our team helps clients navigate claims with practical legal guidance,... ...compensation claims from case preparation through resolution. Research legal issues, review case...ClaimsWork at officeRemote work2 days per week1 day per week$17 - $19 per hour
Driveaway Transport Specialist / NO CDL NEEDED/ 5 years driving experience WITH A CLEAN MVR This range is provided by Sweetie Boy Delivers... ...the vehicle's condition, mileage, and VINs to avoid damage claims. Seniority level Mid-Senior level Employment type Full-time Industries...ClaimsFull time$68.18k - $135.42k
...and make thoughtful recommendations. Use analytical and problem resolution skills and apply Continuous Quality Improvement principles to... ...compliance audits, with 3 of those years in health care administration, claims, customer service, health policy or a related field....ClaimsWork experience placementImmediate start- ...Medical Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses, CPT-4 procedure coding and appropriate modifiers... ..., Observation, Interventional Radiology (IR) & Cardiology and Claim Edits for the purpose of appropriate reimbursement, research, and...ClaimsRemote jobWork at office
- ...Behavior in North Carolina is seeking a Board Certified Behavior Analyst (BCBA) to deliver ABA services to children and families. This hybrid role blends in-home services, supervision, and remote clinical duties with flexible full- or part-time options. The role offers...Full timePart timeRemote workFlexible hours
- ...are seeking a detail-oriented and proactive Senior Purchasing Specialist to manage and coordinate the procurement of maritime supplies,... ...supplier performance, handle non-conformities, and manage warranty claims or returns as necessary.Collaborate with vessel superintendents...ClaimsFull timeWork at officeLocal areaWorldwideFlexible hoursShift work
- ...We are seeking a financial specialist to join the Capital Programs & Contracting Compliance Department, of the world’s largest and most... ...role in assessing projects in terms of contract procurement and claims. Role Overview The successful candidate will be involved...ClaimsContract work
- ...Surgeries, Observation, Interventional Radiology (IR) & Cardiology and Claim Edits for the purpose of appropriate reimbursement, research,... ...by the manager. May provide support to PB Outpatient Coding Specialists and/or act as backup, as necessary. Perform related duties...ClaimsRemote jobWork experience placementWork at office
$69.92k - $133.62k
...USAA roles may offer remote or hybrid flexibility for active-duty... ...dedicated Property Adjuster Specialist, you will work within established... ...complex property insurance claims presented by or against our... ...to facilitate complex claims resolution. May also involve external regulatory...ClaimsHourly payH1bLocal areaRemote workRelocationAfternoon shift
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