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Claims processor Jobs in Washington, DC

Last updated: 1 day ago
  • Promoted
Claims Specialist

Claims Specialist

Healthcare Legal Solutions LLCWashington, DC, US
Full-time
This position is responsible for investigating claim denials; performing claim rebills; scanning & mailing documents; handling large volumes of documents. researching using hospital and insuran...Show moreLast updated: 26 days ago
  • Promoted
Claims Assistant

Claims Assistant

Lockton, Inc.Washington, DC, United States
Full-time
The Washington DC office for Lockton's Northeast Series is currently seeking a process-oriented individual who is passionate about providing exceptional service to Associates and Clients.The Claims...Show moreLast updated: 1 day ago
  • Promoted
Loan Processor

Loan Processor

Piper CompaniesAlexandria, VA
$25.00–$30.00 hourly
Full-time
Responsibilities of the Loan Processor include.Accurately and efficiently enter loan application data into our system.Verify the accuracy of loan application information and documentation.Communica...Show moreLast updated: 13 days ago
  • Promoted
Mailroom Processor

Mailroom Processor

Ubiquity Inc.Arlington, VA, United States
Full-time
At Ubiquity, we live by the mantra head, heart, and hustle.Sound like the right fit? Your tomorrow looks bright at Ubiquity. Sort, distribute, and deliver incoming mail and packages to appropriate d...Show moreLast updated: 1 day ago
Loan Processor

Loan Processor

Zachary Piper SolutionsAlexandria, VA, US
$25.00–$30.00 hourly
Responsibilities of the Loan Processor include.Accurately and efficiently enter loan application data into our system.Verify the accuracy of loan application information and documentation.Communica...Show moreLast updated: 11 days ago
Gifts Processor

Gifts Processor

Howard UniversityWashington, DC, US
$22.00–$24.00 hourly
Full-time
The Talent Acquisition department hires qualified candidates to fill positions which contribute to the overall strategic success of Howard University. Hiring staff “for fit” makes significant contri...Show moreLast updated: 30+ days ago
  • Promoted
Claims Supervisor 20250219

Claims Supervisor 20250219

TDB Communications, Inc.Washington, DC, US
$75,000.00–$80,000.00 yearly
Full-time
Claims Functional Leader / Supervisor.For over 21 years, TDB Communications, Inc.We are looking for enthusiastic, experienced. Claims Functional Leader / Supervisor.To prepare you for this endeavor,...Show moreLast updated: 3 days ago
  • Promoted
Mortgage Loan Processor

Mortgage Loan Processor

Capital Bank, N.A.Washington, DC, United States
$25.51–$35.71 hourly
Full-time
Maryland, serving our communities since 1999.We offer commercial and consumer banking services to clients in the DC metro area, alongside two nation-wide lending brands. Capital Bank Home Loans and...Show moreLast updated: 1 day ago
  • Promoted
Provider Services Claims Team Lead

Provider Services Claims Team Lead

eTeam, Inc.Bethesda, MD, US
Temporary
Job Title : Provider Services Claims Team Lead (Remote role).We will require someone with both call center experience and medical claim processing background. Must have computer experience with Micro...Show moreLast updated: 12 days ago
  • Promoted
Loan Processor

Loan Processor

NVRBeltsville, MD, United States
$55,000.00–$65,000.00 yearly
Full-time
Market Location MD - DC Metro Maryland.If you’re a bright, energetic individual who’s customer-focused and dedicated to the success of your team, we’d love to talk to you.As a Loan Processor for NV...Show moreLast updated: 21 days ago
  • Promoted
Mortgage Loan Processor

Mortgage Loan Processor

StraussGroup - Executive Search ConsultantsBeltsville, MD, United States
Full-time
Are you ready to be a key player in helping families achieve their dreams of homeownership? As a Loan Processor, you’ll work directly with homebuyers to guide them through one of the most important...Show moreLast updated: 3 days ago
  • Promoted
Accounts Payable Processor

Accounts Payable Processor

Children's National HospitalSilver Spring, MD, US
Full-time
The Accounts Payable Processor is responsible for accurately processing invoices, maintaining vendor records, and ensuring timely payment of outstanding balances. The Accounts Payable Processor play...Show moreLast updated: 25 days ago
  • Promoted
Word Processor 1

Word Processor 1

TDECFalls Church, VA, United States
Part-time
Receive and manage document requests, entering information into a tracking database and monitoring the status from start to finish. Prepare document batches for scanning by organizing files in logic...Show moreLast updated: 15 days ago
  • Promoted
Medical Bill Processor

Medical Bill Processor

Cynet SystemsBethesda, MD, US
$14.00–$19.00 hourly
Full-time
Keys pre-coded billing data into the system.Identifies and escalates complex bills per documented guidelines.Codes provider bills in accordance with claims management system notes and program guide...Show moreLast updated: 1 day ago
  • Promoted
Mass Claims Campaign Manager

Mass Claims Campaign Manager

Keller PostmanWashington, DC, US
Full-time
Keller Postman represents a broad array of clients in class and mass actions, individual arbitrations, and multidistrict litigation matters at the trial and appellate levels in federal and state co...Show moreLast updated: 20 days ago
Loan Processor

Loan Processor

NVR Inc.Beltsville, MD
Positively impact the customer experience, while maintaining frequent communication and providing exceptional customer service to homebuyers. Maintain ongoing communication with NVR Mortgage and Hom...Show moreLast updated: 30+ days ago
  • Promoted
Medical Bill Processor (Remote)

Medical Bill Processor (Remote)

Nesco ResourceBethesda, MD, US
Remote
Full-time
Remote Medical Bill Processor, you will work from your home office, and ensure Program members' medical claims are paid timely and in accordance with Program Regulations and Guidelines.You will wor...Show moreLast updated: 1 day ago
Claims Representative - Auto

Claims Representative - Auto

SedgwickRemote, DC
Full-time
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 30+ days ago
Litigation Counsel - Claims (HYBRID)

Litigation Counsel - Claims (HYBRID)

GEICOMD Chevy Chase
$148,000.00–$254,000.00 yearly
Full-time
GEICO is seeking an experienced lawyer to join its in-house Litigation Management department.The Counsel II, Claims Litigation Manager will be responsible for the management of class actions and co...Show moreLast updated: 30+ days ago
Claims Specialist

Claims Specialist

Healthcare Legal Solutions LLCWashington, DC, US
26 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

SUMMARY :

This position is responsible for investigating claim denials; performing claim rebills; scanning & mailing documents; handling large volumes of documents; researching using hospital and insurance portals; opening, sorting, and importing incoming correspondence; contacting health insurance companies in order to obtain the status of previously submitted appeals.

DUTIES AND RESPONSIBILITIES :

  • Investigates Claims Denials.
  • Handles large volumes of documents, including accurately scanning and mailing documents.
  • Utilizes increased knowledge of the industry, hospital revenue cycle, and payers / insurance companies to document the account and provide information and details to support paralegal’s / attorney’s pursuit for additional reimbursement.
  • Works within the client’s Patient Accounting system, payer portals and / or websites, and will utilize proprietary software to research accounts in the work queue.
  • Is comfortable, skilled, assertive, cordial, and professional on the telephone to follow up on submitted appeals.
  • Opens, sorts, and imports incoming correspondence into the office database.
  • Navigates through various computer systems and applications to find information about insurance claims.
  • Greets and assists onsite guests.
  • Answers calls for Claim status and Appeal status.
  • Performs any other administrative duties as may be necessary.
  • Performs other related duties as assigned by management.

QUALIFICATIONS :

  • Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and / or training, or equivalent combination of education and experience.
  • Other skills required :
  • Previous experience in office administration or another related field.

  • Basic working knowledge of the US healthcare system.
  • Ability to prioritize and multitask.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office, including Word and Excel.
  • Highly attentive to detail.
  • Excellent organizational and time management skills.
  • Clear, concise, and logical writing style.
  • Computer-savvy, able to learn new applications / software quickly.
  • Please remove paragraph before using in Workplace

    COMPETENCIES : Select which competency categories are necessary for this position. We strongly recommend diversity and ethics to be included in each job description. Then select an additional 3-5 of the most critical competencies for the specific job title.

    Please note : You may remove complete statements and complete sub-title sections however the verbiage / content may not be altered nor can wording be inserted as this is standard in all ADP Job Descriptions and are compliant.

    COMPETENCIES :

  • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
  • Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
  • Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.
  • Business Necessity – The needs of the employer may be dependent on responding to and anticipating rapidly changing external and internal demands in all aspects of how business is conducted. This may include, but is not limited to, organization structure, finances, goals, personnel, work processes, technology, and customer demands. Therefore, it may become necessary to make modifications to how business is conducted, and work is accomplished, with minimal or no advance notice to employees. Accordingly the employee must be capable of adapting, with minimal or no advance notice, to changes in how business is conducted, and work is accomplished, with no diminishment in work performance.
  • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Delegation - Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides recognition for results.
  • Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
  • Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
  • Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
  • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
  • Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
  • Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.