Medical Claims Team Leader: Mentor, Optimize Payments
GT Independence
GT Independence, LLC, a leading national Financial Management Services provider, is seeking a Claims Team Leader to supervise and develop a team of claims specialists. The role focuses on supervising claim submissions, payments, and resolving issues with agencies. Responsibilities include training, auditing team performance, and developing new agency procedures. This position emphasizes leadership and collaboration across departments to ensure accurate A/R and timely settlements. #J-18808-Ljbffr GT Independence
$60k - $65k
...people and communities it serves. The Claims Team Leader is responsible for the supervision, training... ...manages the submission of claims data, payments and works with team members and... ...degree preferred Strong ability to lead and mentor multiple team members As an...MedicalClaimsShift work- ...BlueShield in Baltimore, MD, seeks a Claims Recovery Specialist II to review and audit medical and dental claims to recover... .... This role supports refunds of payments made in error and works with... ...service, finance, and vendor auditing teams. Under minimal supervision, you...MedicalClaimsRemote job
- ...illness. What Awaits You: ~ Medical, Dental, and Vision Insurance... ...obligations and concerns once claims are adjudicated. Ensures... .... Sets up contracts, auto payments, and secures promissory notes,... ...seamlessly within diverse teams, bringing together professionals...MedicalClaimsWork at officeRemote workFlexible hoursDay shift
$64.76k - $97.15k
...Business Analyst II - Payment Integrity DataminingLocation... ...prevent unnecessary medical-expense spending.The... ...business needs to determine optimal means of meeting those... ...payer systems, claim lifecycle, and reimbursement... ...vendors, and internal teams.Contribute to a culture...MedicalClaimsWork experience placementWork at officeLocal area2 days per week1 day per week$47.77k - $71.65k
...to ensure timely and accurate payments. The role ensures billing aligns... ...services. Process ancillary claims in EPIC in accordance with... ...provided by the Revenue Cycle team. Other duties as assigned. GBMC... ...local law. #J-18808-Ljbffr Greater Baltimore Medical Center (GBMC)MedicalClaimsLocal area$67.46k - $133.99k
CareFirst BlueCross BlueShield is seeking a Senior Medical Coding Specialist in Baltimore, Maryland. This role focuses on ensuring effective payment integrity by developing guidelines and mentoring team members, utilizing extensive coding knowledge and experience within...Medical- The University of Maryland Medical System is seeking a Director of Patient Throughput in Baltimore, Maryland. This leadership position requires overseeing and optimizing patient flow across clinical and procedural areas, ensuring efficient care coordination, and developing...Medical
- ...motivated candidate to join our talented Team. Job Title: Claims - Adjuster, Claims I Location:... ...Description: Required Skills: Medical Claims processing experience.... ...Settle standard/complex claims through payment or denial. ~5% Provides claims...MedicalClaims
- University of Maryland Medical System in Towson, MD, seeks an Adult Psychiatry - Psychiatric Nurse with solid clinical nursing experience to join a multidisciplinary team. The role emphasizes independent care, precepting, and contributing to unit-based practice improvements...Medical
$24.85 - $43.55 per hour
...support the providers in optimizing their clinic sessions.... ...of administrator or medical director. Manage work queues... ...and work with facility team. Acts as patient... ...copays and time of service payments. Interpreting and communicating... ...knowledge of billing, claims processing, and...MedicalClaimsFull timeWork at officeMonday to Friday- Sun Life Financial in Baltimore is seeking a Team Lead, Medical Intelligence to supervise a small team of analysts and associates, ensuring high-quality outputs and timely deliveries while supporting complex provider research. The role combines people leadership with hands...MedicalWork at office2 days per week
- ...district legal staff by conducting medical claims data analysis, forensic... ...to include identifying payments and kickbacks, tracing money... ...government bureaucracy through the optimization of human, technical, and... ...protected veteran. Join our team and become part of...MedicalClaimsFull timeRemote workFlexible hours
- ...experiences begin with great teams. As a Patient Care... ...flow, schedule optimization, and seamless coordination... ...charges, co-pays, and payments into EMR; allocating balances... ...and supporting claim preparation and submission... ...including annual and medically necessary appointments...MedicalClaimsFull timeWork at office
$191k - $255k
...serve as a strategic leader within the Market... ...organizations to optimize patient access,... ...across IDNs, academic medical centers, large... ..., and Contracting teams to evaluate customer... ...NTAP/pass-through payment mechanisms Specialty... ...capture and claims adjudication Serve...MedicalClaimsFull timeWork at officeLocal areaNight shift- ...high-risk accounts, and leading complex claim resolution efforts to ensure timely reimbursement... ...Director of Business Operations, billing team members, and external payers, the Lead... ...to troubleshoot problems within the Medical Registration area that can cause billing...MedicalClaimsWork experience placementLocal area
- ...expert witness activities, independent medical examinations (IMEs), and other litigation... ...Maintain organized litigation files, including claim files, discovery materials, expert... ...Strong Organizational Skills ATS Optimization Keywords Hard Skills Pleadings Discovery...MedicalClaims
$20.57 - $36.27 per hour
...Accounting Non-Governmental Follow-up team with MedStar Patient Financial... ...accounting, health insurance claim appeals and/or claims follow-... ...been billed and either no payment has been received or when only... ...~ Requires some knowledge of medical terminology and CPT/ICD-10...MedicalClaims$18.19 - $27.34 per hour
...packages in a timely manner to optimize delivery time. Serves as a... ...and trends loss and damaged claims filed to identify improperly... ...appropriate system to ensure proper payments. Enters settlement... ...Pay Transparency Family and Medical Leave Act (FMLA) Employee Polygraph...MedicalClaimsHourly payMinimum wageFor contractorsWork at office- ...Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working... ...forms from the insurance Process claims through Availity (clearinghouse) and other means to obtain payment Assist patients in navigating the...MedicalClaimsWork at office
- ...efficient, appropriate levels of care.Put non medical support in place to ensure compliance... ...social workers, discharge planners, and claims professionals in transitioning patient to... ...specialty resources as needed to achieve optimal resolution.Keep detailed records of clinical...MedicalClaims
- ...perform all billing and collection functions, posting payments in EPIC, and following up on claims within assigned financial classes. The role requires attention... .... The ideal candidate has at least two years of medical billing experience and proficiency with Medicare, Blue...MedicalClaims
- ...entry of charges, preparation of claims, and support of daily billing... ...and minimize delays in payment. The position operates in both... ...connect them with the appropriate team member for additional support... ...in Healthcare Administration, Medical Billing and Coding, Business...MedicalClaimsWork at officeLocal area1 day per week
- Greater Baltimore Medical Center in Cockeysville, MD, is seeking an experienced medical billing specialist under... ...classes. You will ensure timely submission of claims, perform eligibility verification, and post payments in EPIC, supporting accurate account balances. The...MedicalClaims
$19.5 - $27.31 per hour
...and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional... ...collectible status, researching denials, claim rejections, and delays in reimbursement,... ...details, personal identification, or payment via email or text. If you suspect fraud,...MedicalClaimsWork experience placementMonday to Friday$16 - $17 per hour
...Burger King® Team Leader Bring the flavor. Bring the fire. Ignite the passion. Welcome to the... ...warm as our grill Take orders, process payments & keep the good times rolling Prepare and... ...level up your career Paid time off* Medical, dental, vision & 401(k)* recognition programs...MedicalHourly payWeekly payMinimum wageLocal areaFlexible hoursShift work- ...The University of Maryland Faculty Physicians, Inc. seeks a Charges and Claims Specialist for Chesapeake Specialty Care. This remote, full‑time role handles initial claim creation and submission to insurers, and designates patient responsibility as needed. Primary duties...MedicalClaimsFull timeRemote work
$80k - $90k
...Claims ExaminerThe Atradius Group provides trade credit insurance,... ...a Claims Examiner to join our team. This full-time role is based... ...assessing and calculating indemnity payments in accordance with policy... ...and 2 days onsite.Insurance: Medical and dental plans with shared premiums...MedicalClaimsFull timeWork at officeRemote workWorldwideFlexible hours$19.49 per hour
...Summary Join Our Team at Mercy Medical Center – Now Hiring an AR Specialist! Join Our Team at Mercy... ...and preparation of all hospital claims. Ensures the hospital bills a clean claim... ...payor so that the turn around time for payment is minimal and a positive cash flow is...MedicalClaimsTemporary workWork experience placementImmediate start- ...motivated candidate to join our talented Team. Job Title: Claims - Processor, Claims I. Location:... ...-specific claims to ensure timely payments are generated and calculate... ...ensure accurate completion according to medical policy, contracts, policies and procedures...MedicalClaimsRemote work
$27.9 - $41.85 per hour
...supportive role to the attorneys and team members within the Legal... ...supports Enterprise Risk, Claims and Insurance teams by providing... ...provide claims data to support the medical staff reappointment process... ...defense costs, settlement payments, and expenses Prepare expense...MedicalClaimsWork at office
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