Hospital Claims & Appeals Specialist
MedStar Health Corporate Office
MedStar Health is seeking an experienced Patient Accounts Specialist to join our patient accounting team for the Washington DC hospitals. This role focuses on follow-up with payers to ensure timely resolution of claims and reimbursement, interpreting explanation of benefits, and working within contracts for multiple payers. The position requires 1–2 years of healthcare accounting experience, knowledge of UB04/EOB, and strong communication and analytical abilities. #J-18808-Ljbffr MedStar Health
$20 per hour
Healthcare Support Staffing is seeking an experienced Claims Examiner in Annapolis, Maryland. In this role, you will review provider disputes and appeals related to claims resolution, adhering to both state and federal policies. The ideal candidate will have at least 1...SuggestedPermanent employmentTemporary workMonday to FridayShift work$18 - $22 per hour
...Description Are you an experienced Medical Claims Adjuster in the Annapolis, MD area... ...Knowledge of processing physician claims, hospital claims, and ICD-10 is required. Daily Responsibilities... .... Reviews providers' disputes and appeals for professional and hospital claims to...SuggestedHourly pay$18 - $22 per hour
Healthcare Support Staffing is seeking an experienced Medical Claims Adjuster in Annapolis, MD, for a rewarding career opportunity. The... ...candidate will bring expertise in processing physician and hospital claims, along with a solid understanding of PPO plans. This role...SuggestedHourly pay- ...Description Job Description The Lead Accounts Receivable Claims Specialist is responsible for overseeing the daily operations of the Accounts... ...serves as the subject matter expert for claim denials, appeals, payer follow-up, and reimbursement issues. The Lead Accounts...SuggestedWork experience placement
$100k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically...SuggestedLocal areaFlexible hours$19.39 per hour
...quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following... ...member/provider phone calls, other insurance information received, appeals, and system changes, etc.; provides technical assistance in...For contractorsWork at officeLocal area$100k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or...Full timeLocal areaFlexible hours$100k - $150k
...dining restaurants. We are a team of seasoned underwriting and claim professionals, well versed in the nuances of our two niches. Our... ...their clients. Communicates adverse underwriting decisions, rate appeals, underwriting requirements, status and declinations and maintains...Full timeWork at office- Our client is seeking a Senior Commercial General Liability Claims Specialist to handle moderate-to-complex GCL claims across the East Coast. Responsibilities include coverage analysis, investigation, evaluation, negotiation and settlement of assigned claims. Key duties...Remote job
$51.81k - $83.55k
A leading risk management firm is seeking a Claims Specialist to manage lower-level workers’ compensation claims under supervision. The role requires excellent communication skills and the ability to analyze and solve problems. Candidates should have a bachelor's degree...- Ryder System, Inc. in Annapolis, MD is seeking a Senior Claims Representative to handle complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. You will investigate, adjust, and direct defense counsel...Remote job
- Job Description Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company... ...! Essential Functions Reviews providers’ disputes and appeals for professional and hospital claims to determine resolution according to policies and...Permanent employmentTemporary workShift work
$51.81k - $83.55k
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the...Minimum wageFull timeLocal areaFlexible hours- ...Job Description Job Description The Lead Charges and Claims Specialist serves as the subject matter expert and team lead for the Charges and Claims function. This position is responsible for overseeing daily charge and claim activities, ensuring the timely and accurate...Work experience placementWork at office
- The Hartford in Maryland is seeking a dedicated Workers' Compensation Claim Representative for a 100% remote, full-time role. You will plan, investigate and manage workers’ compensation claims, ensuring timely investigations, accurate benefit calculations and adherence...Remote jobFull time
- Summary The Claims Management Program Analyst at IHSC manages claims, provider recruitment, and compliance with healthcare standards... ...verification, authorization of care, claims management denials and appeals to minimize adverse outcomes related to timely filing and...Full timePart timeFor contractorsWork at officeImmediate start
- Job Address: 799 Cromwell Park Dr Suites K-M Glen Burnie, MD 21061 Pharmacy Claims Specialist Responsibilities Responsible for adjudication of daily unit dose and non-unit dose claims Contacting insurance for proper overrides New Admits for assigned homes (MOP, group codes...Daily paidTemporary work
- Sedgwick is seeking an experienced professional to analyze complex medical malpractice claims, including long-term care facilities. You will manage high-exposure cases, coordinate investigations, and drive timely, cost-effective resolutions while delivering top-tier client...
- Jobtailor in Maryland is seeking a Claims Support Specialist to partner with claim professionals and assist customers, handling financial transactions and critical information with accuracy. You will build strong customer relationships, address questions professionally,...
- Responsibilities Partnering with claim professionals to assist customers Build customer relationships, complete financial transactions, manage important business information Address customer questions and concerns professionally Partner with claim professionals to assist...Work experience placementWork at office
- CommuniCare Family of Companies is seeking a Pharmacy Claims Specialist to manage adjudication of daily unit dose and non-unit dose claims, coordinate with insurers, and support new admits with accurate payment details. You will maintain timely communications with families...
- Engle Martin and Associates, LLC. seeks a Senior Casualty/Property Liability Adjuster to manage liability claims in the Washington DC/Baltimore area. This field‑based position involves evaluating coverage, determining liability, and ensuring compliance with legal requirements...
- Overview The Senior Casualty/Property Liability Adjuster will manage all aspects of liability claims in the Washington DC/Baltimore market. The field‑based position requires evaluating coverage issues, determining liability, and supporting the client’s claims processing...Contract workFor contractors
- ...Risk Strategies is seeking a seasoned underwriter to analyze P&C policies, review claims history, and propose accurate terms and conditions. The role involves completing policy intake, discussing uninsured risks with clients, and preparing renewal positions with supporting...
$105k - $120k
Build, maintain, and grow a book of business Manage agency relationships and serve as lead client contact Create and execute marketing plan to increase new and renewal business Rate, quote and bind each risk to determine acceptability, coverage, and pricing for large or...WorldwideFlexible hours$95k - $120k
Company Details Berkley Mid-Atlantic Group (BMAG) is a property and casualty insurance provider serving the Mid-Atlantic. We are a member of W. R. Berkley Corporation, one of the largest commercial lines property casualty insurance holding companies in the United States...Full time$80k - $90k
...and unrivalled service. Read on more on our Career site: . Department Description We are investing in the continued growth of our Claims organization, creating an exciting opportunity for a Claims Examiner to join our team. This full-time role is based in Hunt Valley,...Full timeWork at officeRemote workWorldwideFlexible hours$51.8k - $75k
ONE80 INTERMEDIARIES INC is seeking a Claims Accountant in Maryland responsible for managing and analyzing financial transactions related to insurance claims. The role ensures accuracy in claims payments and reporting while complying with regulatory requirements. The successful...- Burns & Wilcox, the flagship organization of H.W. Kaufman Group, is North America’s leading wholesale insurance broker and underwriting manager. The role focuses on building and growing a personal lines underwriting book, managing agency relationships, and leading a team...Flexible hours
- Berkley Mid-Atlantic Group (BMAG) is seeking a Senior Underwriter to build strong relationships with independent agents, drive growth in written premium, and manage renewals while delivering high customer satisfaction across our Mid-Atlantic footprint. The role requires...
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