• Appeals Specialist II,…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Appeals Specialist II will be responsible for the initial analysis of appeals /grievance correspondence, and ... organizing and tracking information to facilitate and expedite processing of appeals /grievances received from a variety of sources. Responsible for more complicated,… more
    CareFirst (07/30/25)
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  • Appeals Specialist I ( remote…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and/or grievance correspondence, and ... without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and other duties related… more
    CareFirst (07/30/25)
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  • Appeal & Grievance Intake Specialist…

    TEKsystems (Baltimore, MD)
    TekSystems is currently hiring for a FULLY REMOTE Grievance and Appeal Intake Specialist ! This position must sit near or local to the DMV area! MUST HAVE: Any ... Description Job Profile Summary: The Grievance and Appeal Intake Specialist supports the Appeals and Grievance (A&G)...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    TEKsystems (07/24/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Annapolis, MD)
    …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather required information and… more
    CenterWell (07/30/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Annapolis, MD)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
    Evolent (07/30/25)
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  • Coder IV, Inpatient ( Remote )

    Trinity Health (Silver Spring, MD)
    …(PBS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as appropriate for coding ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3. Three (3) years of… more
    Trinity Health (07/10/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Annapolis, MD)
    Hybrid or remote position Schedule: Monday - Friday, 8:00am - 4:30pm **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is ... skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will… more
    Cardinal Health (07/24/25)
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