Top 56 Claims coordinator Jobs in Maryland

Payment and Medical Policy Coordinator (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $51,264 - $101,816 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Finance
- 401(k)
Quick Apply
Benefits Coordinator
Johns Hopkins Applied Physics Laboratory (APL) —Laurel, MD
- $26.60 - $44.30 an hour
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
6d
Account Coordinator
Alera Group —Baltimore, MD
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Permit Coordinator
Spiniello —Greenbelt, MD
- $90,000 - $115,000 a year
- Full-time
- Microsoft Word
- Mid-level
- High school diploma or GED
Quick Apply
HR Coordinator
MASTER ELITE SPICE INC —Jessup, MD
- $55,000 - $65,000 a year
- Full-time
- Mid-level
- Office
- Recruiting
Quick Apply
U1 HR Coordinator
Urban One —Silver Spring, MD
- $26.44 - $29.80 an hour
- Full-time
- Mid-level
- Office
- Ability to lift 50 pounds
- Commuter assistance
- Health savings account
Senior Insurance Coordinator
Advanced Root Canal Specialist of Howard County —Columbia, MD
- $27 - $30 an hour
- Full-time
- Dental office
- Mid-level
- In-person
- Paid time off
- 401(k) matching
Quick Apply
17h
Logistics/Shipping Coordinator
Augmentation, Inc. —Owings Mills, MD
- $23 - $26 an hour
- 8 hour shift
- Background check
- Microsoft Outlook
- Customer service
Quick Apply
Medicine Revenue Cycle Management Coordinator
UM FPI Dept of Medicine —Baltimore, MD
- $21.25 - $31.92 an hour
- Hybrid work
- Customer service
- Medical office experience
- Mid-level
Quick Apply
Financial Coordinator Risk Management
MedStar Health —Columbia, MD
- $65,062 - $117,291 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Mileage reimbursement
Office Manager / Project Coordinator
Spiniello —Greenbelt, MD
- $74,000 - $88,000 a year
- Full-time
- Microsoft Excel
- 5 years
- ERP systems
Quick Apply
IT Specialist (Project Coordinator)
US Social Security Administration —Woodlawn, MD
- $121,785 - $187,093 a year
- Online Application
- Background check
- Pass drug screening
- Mid-level
- Flextime
Human Resources Coordinator
Urban One —Silver Spring, MD
- $26.44 - $28.85 an hour
- Full-time
- Mid-level
- Office
- Ability to lift 50 pounds
- Health savings account
- Health insurance
Quick Apply
Nonprofit Relations Coordinator
Levy Sector —Hyattsville, MD
- $25 an hour
- Full-time
- Background check
- Accounting
- Food service experience
- Wellness program
- Paid time off
Quick Apply
People Operations Coordinator
Chesapeake Bay Foundation —Annapolis, MD
- $40,000 - $45,000 a year
- Part-time
- Hybrid work
- Office
- Recruiting
- Budgeting
- Health insurance
- Dental insurance
Quick Apply
6d
Hospital Billing Coordinator
Deloitte —Baltimore, MD
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Insurance Coordinator
Fresenius Medical Care —Landover, MD
- $56,000 - $86,000 a year
- Full-time
- Customer service
- Mid-level
- Clinic
- Health insurance
- Dental insurance
6d
Patient Care Coordinator
Total Dental Care —Germantown, MD
- $25 - $30 an hour
- Full-time
- Dental office
- HIPAA
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Billing Coordinator
Breakthrough Counseling Services —Jefferson, MD
- Email
- Mid-level
Coordinator - Prior Authorization Verification and Eligibility
Luminis Health —Annapolis, MD
- $17.50 - $26.00 an hour
- Full-time
- Microsoft Outlook
- Hospital
- Medical office experience
- AD&D insurance
- Paid holidays

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Payment and Medical Policy Coordinator (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$51,264 - $101,816 a year

Benefits

401(k)

Qualifications

Health insurance knowledge

Full Job Description

Resp & Qualifications

PURPOSE:
The Policy Coordinator will support the end-to-end implementation of medical and payment policies by coordinating cross-functional activities required to operationalize policy decisions. This role ensures business readiness across impacted functions, including claims, configuration, provider communications and operations, and provides support during testing, implementation, and post-implementation validation. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

Coordinates cross-functional activities required to implement medical and payment policy changes, including alignment across claims, configuration, provider operations, network management, and compliance teams. Tracks key milestones and ensures readiness for policy go-live.
Supports business readiness activities, including impact assessments, readiness checklists, and coordination of implementation plans. Works with stakeholders to identify operational, staffing, and workflow impacts associated with policy changes.
Coordinates testing activities related to policy implementation, including user acceptance testing (UAT), validation of claims adjudication logic, and issue tracking/resolution. Ensures testing results are documented and communicated to stakeholders.
Maintains implementation documentation, including timelines, status reports, risks, and dependencies. Provides regular updates to leadership and ensures transparency across teams.
Supports post-implementation monitoring by coordinating issue tracking, identifying gaps in execution, and escalating risks or defects to appropriate stakeholders for resolution.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Health Administration, Business, Finance or related discipline OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Preferred:

Certified Coder (CCS or CPC)-AHIMA or AAPC AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS).

Experience: Experience in health plan operations, project coordination, policy implementation, claims operations, or related functions.

Preferred Qualifications:

Experience working in a health plan environment (Medical Policy, Payment Policy, Claims, or Operations).
Experience coordinating cross-functional projects or implementations.
Familiarity with claims systems, configuration processes, or policy governance.

Knowledge, Skills and Abilities (KSAs)

Strong organizational and coordination skills across multiple teams and stakeholders.
Ability to manage multiple workstreams and meet deadlines.
Strong communication skills with ability to translate policy decisions into operational tasks
Working knowledge of managed care, claims processes, and policy implementation workflows.
Ability to identify risks, track issues, and escalate appropriately.
Use of Microsoft Office applications (Excel, PowerPoint, Word) and project tracking tools.

Salary Range: $51,264 - $101,816

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-SS1

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Refine Your Search

claims coordinator jobs in maryland

Payment and Medical Policy Coordinator (Remote)

Benefits Coordinator

Account Coordinator

Permit Coordinator

HR Coordinator

U1 HR Coordinator

Senior Insurance Coordinator

Logistics/Shipping Coordinator

Medicine Revenue Cycle Management Coordinator

Financial Coordinator Risk Management

Office Manager / Project Coordinator

IT Specialist (Project Coordinator)

Human Resources Coordinator

Nonprofit Relations Coordinator

People Operations Coordinator

Hospital Billing Coordinator

Insurance Coordinator

Patient Care Coordinator

Billing Coordinator

Coordinator - Prior Authorization Verification and Eligibility

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