Licensed Attorney – Claims Reviewer - Washington, DC

Kaiva Tech LLC is seeking a Licensed Attorney to review claim submissions under an agency-managed program. · Review claim submissions for completeness accuracy and compliance with applicable federal regulations · Determine eligibility based on established criteria prepare recomm ...

Kaiva Tech, LLC seeks a highly analytical Licensed Attorney to review and adjudicate claims submitted under an agency-managed program. · ...

Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer · Location: Washington, D.C. · Clearance: 5C Public Trust · Position Type: Full-Time, Hybrid/Remote · Position Summary · Kaiva Tech, LLC is seeking a highly analytical and detail-oriented Licensed Attorney to support ...

Aerotek has an immediate opening for a Claims Review Specialist at the corporate office in Hanover MD Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager the Claims Review Specialist will assist in the monitoring and administeri ...

Aerotek has an immediate opening for a Temporary Claims Review Specialist (Workers Compensation) at the corporate office in Hanover, MD. · ...

Dane Street seeks experienced Registered Nurses (RNs) to support disability case review process. · Perform clinical reviews of disability claims. · ...

We are seeking an experienced Medical Coder - Quality Assurance professional to support a high-volume urgent care provider. · This role will focus heavily on Evaluation & Management (E/M) coding review, pre-payment claim audits, and medical record adjudication. · The ideal candid ...

This is an excellent opportunity for a certified medical coder seeking a high-impact role with potential for long-term employment. · ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. · ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. Oversee complex billing processes and ensure accurate and timely reimbursement for medical services. · ResponsibilitiesOversight of all billing and collection functions, including p ...

Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. · ...

The Health Insurance Claims Specialist role will support attorneys by reviewing claim files compiling factual summaries identifying key documents and facilitating legal analysis regarding liability potential defenses exposure valuations and settlement strategies This role can be ...

The Healthcare Paralegal Specialist role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, exposure valuations, and settlement strategies. · ...

Title: Senior Paralegal (Claims Review) · Location: - Washington, DC Onsite) · Hire Type: Contract · Day to Day Responsibilities: · Works under the direction of a Supervisory Paralegal or a Project Supervisor. · Work products are reviewed prior to submission; however, often deve ...

Responsibilities & Duties:Claims Processing and Assessment: · Evaluate incoming claims to determine eligibility, coverage, and validity. · Conduct thorough investigations, including reviewing medical records and other relevant documentation. · Analyze policy provisions and contra ...

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+ Lead coding specialists at Houston Methodist Primary Care Group.+ Abstract diagnosis and procedural services from physician records.+ Review charge review and claim edit related coding errors.<+ Mentor coding specialists,<+ Provide cross-training,+ Collaborate with management o ...

The Sr Coding Specialist position at Houston Methodist Primary Care Group is responsible for applying correct coding conventions to patient charge encounters in a clinical environment.Coding specialists abstract diagnosis and procedural services from physician records and review ...

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. · ...

Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. · ...