You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues experts in their fields who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciti

Property Adjuster Requisition ID 2024 25013 Job Locations US VA Fairfax Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, prese

The Charge Data Specialist is responsible to complete the services of charges posted for areas of Children's National Health System. The Charge Data Specialist provides financial analysis, guidance, and advice to management consistent with standard charge posting practices. The Charge Data Specialist will ensure accurate and timely charge capture and quality assurance pro

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Company Description Headquartered in Bethesda, Maryland, ISN Corporation is a nationwide provider of specialized professional services to Federal government agencies. ISN's portfolio includes work with over 100 Federal agencies. ISN Corporation has been awarded a place in the Washington Business Journal's list of the 50 Fastest Growing Government Contractors. ISN was also

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Assesses the patient insurance/financial status to facilitate appropriate discharge planning. Uses departmental software to update hospital departments re post hospital care referrals, provider contacts, and other related information. Serves as communication liaison between Clinical Case Managers, Social Workers and on site reviewers. Interacts with Precert , PT/OT and Lo

Correctly categorizes inquiries / complaints and refers cases appropriately to other departments for follow up; i.e. provider issues, or quality of care issues. Tracks all inquiries or complaints to ensure that cases are resolved within State required timeframes. Documents resolution and prepares and sends written correspondence in response to members initiating complaint

Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required Research and respond to inquiries from members and internal business units Process GAP claims and make decisions within established guidelines and policies Provide claim and contractual information to appropriate internal and external parties Rese

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st

Requisition # 639074 Location Johns Hopkins Health System, Baltimore, MD 21201 Category Non Clinical Professional Schedule Day Shift Under general supervision, processes employee workers' compensation claims and benefits, including preparation of legal forms for the Workers Compensation Commission. Computes workers compensation benefits due employee as well as approving p

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Analyzes invoice with no adjudication status to facilitate timely reimbursement for 1 billion + annual billing of provider services. Reviews, researches, and corrects TES edits, eligibility and registration corrections. Ensures that claims meet billing guidelines for assigned carriers. Uses GE IDX ETM to ensure the claims status is changed to ensure successful resubmissio

Conducts internal investigations; coordinates and conducts litigation with MedStar attorneys and outside counsel, including handling service of complaints, managing paper and electronic discovery data collection, coordinates and conducts witness interviews; coordinates with outside counsel regarding depositions, court deadlines and trial calendars. Works with counsel on l