Top 1079 Information specialist Jobs in Towson Md

Claims Recovery Specialist II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $42,624 - $78,144 a year
- Full-time
- Remote
- Basic math
- Mid-level
- High school diploma or GED
- 401(k)
Quick Apply
14d
Appeals Specialist I (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $41,544 - $76,164 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- 401(k)
Quick Apply
1d
Maintenance Procedure Card (MPC) Specialist- Naval Ship HM&E
Pantheon Data —Baltimore, MD
- $75,000 - $90,000 a year
- Full-time
- Hybrid work
- Customer service
- Research
- Bachelor's degree
- Tuition reimbursement
Quick Apply
13d
Safety Specialist
Stella May Contracting, Inc. —Edgewood, MD
- $75,000 - $95,000 a year
- Full-time
- Microsoft Word
- CPR Certification
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
9d
Behavior Specialist Supervisor - Villa Maria School
Catholic Charities of Baltimore —Timonium, MD
- $65,000 a year
- Monday to Friday
- Ability to walk for extended periods
- Computer literacy
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
BCBA – Classroom Support Specialist
Achieving True Self —Baltimore, MD
- $75 - $85 an hour
- Part-time
- School experience
- Classroom
- Clean driving record
Quick Apply
Maintenance Procedure Card (MPC) Specialist- ELEX
Pantheon Data —Baltimore, MD
- $75,000 - $90,000 a year
- Full-time
- Hybrid work
- Customer service
- Research
- Bachelor's degree
- Tuition reimbursement
Quick Apply
7d
Medical Billing Specialist
Medical Practice —Severn, MD
- $23 - $26 an hour
- Full-time
- Background check
- Microsoft Outlook
- Computer literacy
Quick Apply
Pump Specialist
Harrington Industrial Plastics —Elkridge, MD
- Full-time
- Bachelor of Science
- Adults
- Mid-level
- Paid jury duty
- Health savings account
Quick Apply
Total Rewards Specialist
Service Coordination, Inc —Owings Mills, MD
- $97,300 - $146,200 a year
- 5 years
- HIPAA
- Mid-level
- Wellness program
- Health savings account
Quick Apply
Purchasing / Procurement & Return to Vendor Specialist with Sports Company
League Outfitters —Jessup, MD
- $18 - $22 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Health insurance
- 401(k)
Quick Apply
4d
Purchasing Specialist
OWL Services —Baltimore, MD
- $28 - $32 an hour
- Full-time
- ERP systems
- Mid-level
- Office
- Paid training
- Health savings account
Quick Apply
Acquisition Specialist
VISTA Technology Services —Fort Meade, MD
- $65,000 - $80,000 a year
- Hybrid work
- Mid-level
- Bachelor's degree
- Contracts
- Disability insurance
- Health insurance
Leasing Specialist
Rushmore Management —Baltimore, MD
- $22 - $23 an hour
- Weekends as needed
- Background check
- Sales
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
13d
Customer Service Specialist - TS/SCI w/Poly
General Dynamics Information Technology —Annapolis Junction, MD
- $33.15 - $44.85 an hour
- High school diploma or GED
- Travel
- In-person
- 401(k) matching
Senior On Premise Market Execution Specialist
Constellation Brands —Baltimore, MD
- $82,400 - $123,600 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
Sterile Processing Specialist I FT Nights
Greater Baltimore Medical Center, Inc. —Baltimore, MD
- $17.64 - $27.48 an hour
- Full-time
- Hospital
- Ability to walk for extended periods
- Mid-level
- Continuing education credits
Quick Apply
Leasing Specialist
Rushmore Management —Brooklyn, MD
- $20 - $24 an hour
- Weekends as needed
- Background check
- Sales
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Payroll & Benefits Specialist
Everstand —Baltimore, MD
- $52,709 - $64,826 a year
- Full-time
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
7d
Field Data Specialist - Travel position
ID Plans —Baltimore, MD
- $22 - $25 an hour
- Full-time
- CAD
- Office
- Ability to lift 50 pounds
- Travel reimbursement
- Paid training
Quick Apply
9d

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Claims Recovery Specialist II (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$42,624 - $78,144 a year
14 days ago

Benefits

401(k)

Qualifications

Direct client contact
High school diploma or GED
Internal employee customer service
Customer engagement
Individual consumer customer service

Full Job Description

Resp & Qualifications

PURPOSE:
Under minimal supervision, the Claims Recovery Specialist II review and audits medical and/or dental claims to recover payments. Specialist will assist to maximize recovery amounts due to refund of payments made in error to members and/or providers, retro terms and/or focused provider audits. Specialist will provide day-to-day management of active overpayment recoveries. This position will work closely with the claims, service, finance, and vendor auditing departments to complete claims adjustments.

ESSENTIAL FUNCTIONS:

Under supervision, reviews, audits, and/or initiates recovery efforts for medical, and/or dental claims to recover overpayments, ensuring all parts of the process are documented properly.
Contacts carriers, members and/or providers, via phone, email, and correspondence, to recover and settle overpaid and/or unpaid claims. Responds to carrier, customer and/or provider service inquiries regarding outstanding claims and/or overpayment balances. Proactively identifies needs and responds appropriately through investigating, problem solving, engagement of other internal or external resources, and providing high level service. Adjusts claims to reflect cash returned by members and/or providers to reduce and accurately reconcile customer accounts.
Distributes written correspondence to policy holders to recoup overpaid claims, negotiate repayment agreements when necessary, and ultimately reduce the company's care line. Performs vendor education and training to educate vendors on claims retrieval systems and procedures, general vendor updates.
Participate in all internal/external meetings relating to Audit and Recoupment. Improves claims audit and recoupment job knowledge by attending training sessions. Participates with department management in revising Audit and Recoupment SOPs.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: 5 years claims processing.

Preferred Qualifications:

1 year adjustment processing

Knowledge, Skills and Abilities (KSAs)

Mathematical ability/aptitude.
Communication skills.
Ability to deal with both internal and external clients.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $42,624 - $78,144

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

Quick Apply

Refine Your Search

information specialist jobs in towson md

Claims Recovery Specialist II (Remote)

Appeals Specialist I (Remote)

Maintenance Procedure Card (MPC) Specialist- Naval Ship HM&E

Safety Specialist

Behavior Specialist Supervisor - Villa Maria School

BCBA – Classroom Support Specialist

Maintenance Procedure Card (MPC) Specialist- ELEX

Medical Billing Specialist

Pump Specialist

Total Rewards Specialist

Purchasing / Procurement & Return to Vendor Specialist with Sports Company

Purchasing Specialist

Acquisition Specialist

Leasing Specialist

Customer Service Specialist - TS/SCI w/Poly

Senior On Premise Market Execution Specialist

Sterile Processing Specialist I FT Nights

Leasing Specialist

Payroll & Benefits Specialist

Field Data Specialist - Travel position

I want to receive the latest job alert for information specialist in towson md

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