Claims Processing Jobs in Maryland
1 - 12 of 12
Search Results - Claims Processing Jobs in Maryland
Ageatia Global Solutions-Baltimore
claims processing and/or adjudication. The incumbent will handle pre and post claim medical review for Commercial, FEP and Medicare Advantage Plans. This position assists in determining acceptable medical risk to the organization by analyzing medical...
resume-library.com -
Hendall Inc-Rockville (MD)
or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines
• Extensive knowledge of the Medicare program, particularly the coverage and payment rules
• Public relations...
appcast.io -
UMMS Providers/Physicians-Largo (MD)
orientation and training, charity care, accounts payable, coding, billing and claims processing.
6. Assure compliance with local, state and federal guidelines such as OSHA, CLIA and wage and labor regulations.
7. Participate in the development...
resume-library.com -
Ascension-Columbia (MD)
of utilization management functions with network strategy and claims processing.
• Oversees work with provider relations on resolving issues.
• Manages activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing...
4 similar jobs: Baltimore, Laurel, Hanover, Towson
Lumen Solutions Group, Inc.-Columbia (MD)
like GitHub, Azure DevOps and PowerShell.
Responsible for:
Supporting and implementing infrastructure used for business mission critical applications including Claims Processing, Enrollment, Financial and Portal Websites and many other applications...
resume-library.com -
Saint Agnes Hospital-Baltimore
as assigned
Utilization Management:
• Ensures integration of utilization management functions with network strategy and claims processing.
• Oversees work with provider relations on resolving issues.
• Manages activities related to staffing, including hiring...
Mindlance-Columbia (MD)
to integrate and automate each of the components using scripting or automation tools like GitHub, Azure DevOps and PowerShell.
Responsible for:
Supporting and implementing infrastructure used for business mission critical applications including Claims...
resume-library.com -
Capital One-Salisbury (MD)
a Director, TPM to lead our modernization journey of Fraud disputes and claims processing. You will partner with multiple product & technology stakeholders & clients across the Card Servicing domains to be the voice of the client across levels of leadership...
Hanover (MD)
Overview:
Job Summary:
Leave Representative works in a call center environment acting as the main resource for leave and disability intake, administration, claim processing, and leave education.
Responsibilities:
Essential Functions:
• Provide...
icims.com -
Capital One-Annapolis
the workflow of the agents who investigate and resolve those issues.
We are looking for a Distinguished Engineer to lead our modernization journey of Fraud disputes and claims processing. You will partner with engineers, product and business stakeholders...
Baltimore
meeting agendas, and tracks team projects deliverables and timelines. Key responsibilities related to benefit plan administration include, but are not limited to, Worker’s Compensation data entry and medical claim processing, Wellness programming...
icims.com -
Ageatia Global Solutions-Owings Mills
and automate each of the components using scripting or automation tools like GitHub, Azure DevOps and PowerShell.
Responsible for:
Supporting and implementing infrastructure used for business mission critical applications including Claims Processing...
resume-library.com -
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