At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're using our expertise, technology and new ways of working to reinvent one of America's largest industries creating positive impact that

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Medical Administrators on the Heartbeat program work at client sites in the Northern Virginia region, providing a variety of office support and customer service duties within a medical office setting. Responsibilities will vary based upon the medical office's day to day needs and may include; Providing front desk/reception support Answering phones and routing calls Facili

Conducts internal investigations; coordinates and conducts litigation with MedStar attorneys and outside counsel, including handling service of complaints, managing paper and electronic discovery data collection, coordinates and conducts witness interviews; coordinates with outside counsel regarding depositions, court deadlines and trial calendars. Works with counsel on l

Property/Asset Specialist (Ashburn, VA) Job Locations US VA Ashburn Job ID 2024 11021 # of Openings 1 Category Supply Chain Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Ashburn, VA). Join our team of collaborative self starters focused on delivering practical and efficient solutions to help o

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st

Property Adjuster Requisition ID 2024 25013 Job Locations US VA Fairfax Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, prese

Special Investigations Unit (SIU) Investigator Job details Posted 22 April 2024 Location Baltimore, MD Job type Permanent Reference 918047 Job description Position Fraud Investigator Location Baltimore OR Owings Mills MD (Remote/ Hybrid) Job Type 6 months Contract Possible extension Hiring Manager Notes This team is tasked with identification, remediation and prevention o

Analyzes invoice with no adjudication status to facilitate timely reimbursement for 1 billion + annual billing of provider services. Reviews, researches, and corrects TES edits, eligibility and registration corrections. Ensures that claims meet billing guidelines for assigned carriers. Uses GE IDX ETM to ensure the claims status is changed to ensure successful resubmissio

Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required Research and respond to inquiries from members and internal business units Process GAP claims and make decisions within established guidelines and policies Provide claim and contractual information to appropriate internal and external parties Rese

Company Description Headquartered in Bethesda, Maryland, ISN Corporation is a nationwide provider of specialized professional services to Federal government agencies. ISN's portfolio includes work with over 100 Federal agencies. ISN Corporation has been awarded a place in the Washington Business Journal's list of the 50 Fastest Growing Government Contractors. ISN was also

You're looking for a change, and so are we. At Venable, we know that every new hire brings valuable experience, new perspectives, and a chance to raise the bar on our approach to how we work. That's why we're looking for a dynamic Document Specialist to provide comprehensive administrative support to join our firm. The ideal candidate will be responsible for... Responsibl

Property/Asset Specialist (Washington, D.C.) Job Locations US DC Washington, DC Job ID 2024 11022 # of Openings 1 Category Logistics Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Washington, D.C.). Join our team of collaborative self starters focused on delivering practical and efficient solut

The Charge Data Specialist is responsible to complete the services of charges posted for areas of Children's National Health System. The Charge Data Specialist provides financial analysis, guidance, and advice to management consistent with standard charge posting practices. The Charge Data Specialist will ensure accurate and timely charge capture and quality assurance pro