Top 191 Claims specialist Jobs in Washington Dc

Claims Specialist
Healthcare Legal Solutions LLC —Washington, DC
- $50,000 - $60,000 a year
- Microsoft Excel
- Writing skills
- Research
Quick Apply
Accounts Receivable Specialist (Part-time)
Food & Friends —Washington, DC
- $39 - $41 an hour
- Part-time
- Background check
- Bachelor of Science
- Pass drug screening
- Flexible schedule
- Food provided
Accounts Receivable Specialist (Part-Time)
Food and Friends Inc —Washington, DC
- $39 - $41 an hour
- Part-time
- Background check
- Bachelor of Science
- Pass drug screening
- Flexible schedule
- Food provided
Quick Apply
Insurance Customer Care Specialist (Bilingual In Korean)
Michael Lee Financial Inc (Allstate Insurance) —Annandale, VA
- $22 - $29 an hour
- Part-time
- Background check
- Computer literacy
- English
- Paid training
- Health insurance
Quick Apply
Medical Billing Specialist
Medical Practice —Severn, MD
- $23 - $26 an hour
- Full-time
- Background check
- Microsoft Outlook
- Computer literacy
Quick Apply
Medicare Billing Specialist (Skilled Nursing Facility experience required)
TriSource Staffing Solutions —Rockville, MD
- $25 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Free parking
- AD&D insurance
Quick Apply
8d
REALTY SPECIALIST
U.S. Customs and Border Protection —Washington, DC
- $121,785 - $158,322 a year
- Online Application
- Remote
- Psychiatry
- English
- Office
- Paid holidays
- Health insurance
7d
CUSTOMER RESOURCE SPECIALIST III
CLJ Consulting And Contracting LLC —Waldorf, MD
- $37 - $40 an hour
- Contract
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
Quick Apply
1d
Junior Revenue Cycle Management (RCM) Specialist - Hybrid Bethesda, MD
CareTalk Health —Washington, DC
- $35 an hour
- Full-time
- Hybrid work
- Background check
- Office
- Finance
- Health insurance
Quick Apply
Senior Liability Claims Specialist
CorVel Corporation —Rockville, MD
- $61,053 - $98,334 a year
- Full-time
- Hybrid work
- Computer literacy
- Bachelor's degree
- In-person
- Health savings account
- Disability insurance
Quick Apply
IT Specialist
US National Institutes of Health —Montgomery County, MD
- $85,447 - $133,142 a year
- Online Application
- Remote
- Background check
- Computer Science
- Pass drug screening
2d
CUSTOMER RESOURCE SPECIALIST IV (REMOTE)
CLJ Consulting And Contracting LLC —Waldorf, MD
- $42 - $46 an hour
- Contract
- Remote
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
Quick Apply
1d
CUSTOMER RESOURCE SPECIALIST II (REMOTE)
CLJ Consulting And Contracting LLC —Waldorf, MD
- $32 - $35 an hour
- Contract
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
1d
Property Adjuster Specialist - Field
USAA —Washington, DC
- $69,920 - $133,620 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
2d
Client Assistance Specialist, Grade 20
Montgomery County Government —Silver Spring, MD
- $67,672 - $107,323 a year
- Email
- Spanish
- Customer service
- Writing skills
- Wellness program
- Paid parental leave
2d
Audio Production Specialist
US Library of Congress —Washington, DC
- $102,415 - $133,142 a year
- Online Application
- Writing skills
- Pass drug screening
- Research
Claim Specialist - Property Field Inspection
State Farm —Silver Spring, MD
- $64,965.62 - $99,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Billing & Reconciliation Specialist
Release Recovery —Washington, DC
- $65,000 - $75,000 a year
- Full-time
- Mid-level
- Continuous improvement
- QuickBooks
- Dental insurance
- Vision insurance
Quick Apply
Durable Medical Equipment Specialist
Inspire Medicals —Washington, DC
- $30 - $40 an hour
- Contract
- Hybrid work
- HIPAA
- Mid-level
- Organizational skills
Quick Apply
Claims and Billing Specialist (L2) Part-Time 32 Hours a Week
Primary Care Coalition of Md —Silver Spring, MD
- $25 - $27 an hour
- Part-time
- Customer service
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply

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Claims Specialist

Healthcare Legal Solutions LLC -
Washington, DC

Quick Apply

Job Details

$50,000 - $60,000 a year

Qualifications

Customer communication
Microsoft Excel
Writing skills
Word embeddings
Administrative experience
Productivity software
Office experience

Full 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.

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.

Quick Apply

Refine Your Search

claims specialist jobs in washington dc

Claims Specialist

Accounts Receivable Specialist (Part-time)

Accounts Receivable Specialist (Part-Time)

Insurance Customer Care Specialist (Bilingual In Korean)

Medical Billing Specialist

Medicare Billing Specialist (Skilled Nursing Facility experience required)

REALTY SPECIALIST

CUSTOMER RESOURCE SPECIALIST III

Junior Revenue Cycle Management (RCM) Specialist - Hybrid Bethesda, MD

Senior Liability Claims Specialist

IT Specialist

CUSTOMER RESOURCE SPECIALIST IV (REMOTE)

CUSTOMER RESOURCE SPECIALIST II (REMOTE)

Property Adjuster Specialist - Field

Client Assistance Specialist, Grade 20

Audio Production Specialist

Claim Specialist - Property Field Inspection

Billing & Reconciliation Specialist

Durable Medical Equipment Specialist

Claims and Billing Specialist (L2) Part-Time 32 Hours a Week

I want to receive the latest job alert for claims specialist in washington dc

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COMPETENCIES:

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