Current jobs related to Reimbursement Specialist, Day Shift - Gaithersburg - Adventist HealthCare
-
Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Reimbursement Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.As a Reimbursement Specialist, you will: •Responsible for the daily reimbursement activities for claims submitted to third party payers. •Demonstrate a working...
-
Reimbursement Specialist
3 days ago
Gaithersburg, Maryland, United States Adventist HealthCare Full timeReimbursement Specialist Job DescriptionAdventist HealthCare is seeking an experienced Reimbursement Specialist to join our Patient Financial Services Department. As a Reimbursement Specialist, you will play a critical role in ensuring timely and accurate payment of healthcare claims.Key Responsibilities:Establish payment status of billed or partially paid...
-
Reimbursement Specialist
1 week ago
Gaithersburg, Maryland, United States Adventist HealthCare Full timeReimbursement Specialist Job SummaryAdventist HealthCare is seeking an experienced Reimbursement Specialist to join our Patient Financial Services Department. As a Reimbursement Specialist, you will play a critical role in ensuring timely and accurate payment of patient claims.Key Responsibilities:Establish payment status of billed or partially paid...
-
Reimbursement Specialist, Day Shift
2 months ago
Gaithersburg, United States Adventist HealthCare Full timeSupport Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Reimbursement Specialist for the Patient Financial Services Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual...
-
Denial Specialist
2 weeks ago
Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Denial Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Denial Specialist, you will: • The Denials Specialist determines the root cause of denial or partially paid claim.• Files appeal after review of a denial indicates an...
-
Denial Specialist
5 days ago
Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Denial Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Denial Specialist, you will: • The Denials Specialist determines the root cause of denial or partially paid claim.• Files appeal after review of a denial indicates an...
-
Denial Specialist
2 weeks ago
Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Denial Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Denial Specialist, you will: • The Denials Specialist determines the root cause of denial or partially paid claim.• Files appeal after review of a denial indicates an...
-
Denial Specialist
5 days ago
Gaithersburg, United States Adventist HealthCare Full timeAdventist HealthCare seeks to hire an experienced Denial Specialist who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Denial Specialist, you will: • The Denials Specialist determines the root cause of denial or partially paid claim.• Files appeal after review of a denial indicates an...
-
Laundry and Housekeeping Specialist
3 days ago
Gaithersburg, Maryland, United States The Woodhouse Day Spa - Gaithersburg & Leesburg Full timeJob OpportunityWe are seeking a highly skilled and detail-oriented Laundry and Housekeeping Specialist to join our team at The Woodhouse Day Spa - Gaithersburg & Leesburg.Key Responsibilities:Ensure clean and fresh laundry is available throughout the dayProvide exceptional customer service and greet guests with a smileMaintain a clean and organized...
-
Family Nurse Practitioner
1 week ago
Gaithersburg, Maryland, United States All Day Medical Care Full timePrimary Care Opportunity at All Day Medical Care ClinicWe are seeking a skilled and compassionate Family Nurse Practitioner to provide high-quality patient care in our primary care setting.Key Responsibilities:Provide comprehensive primary care services to patients of all ages, including physical exams, diagnosing, and treating common illnesses, managing...
-
Caregiver Specialist
2 weeks ago
Gaithersburg, Maryland, United States CSAAC Full timeCSAAC is a nonprofit organization dedicated to supporting individuals with autism. We are seeking full-time and part-time Direct Support Specialists to join our team. As a Direct Support Specialist, you will provide support and care to individuals with autism in our group homes. You will work a variety of shifts, including days, evenings, and overnights....
-
Emergency Medicine Specialist
1 week ago
Gaithersburg, Maryland, United States Mid-Atlantic Permanente Medical Group Full timeJoin Our Team as a Specialist in Emergency Medicine - NocturnistWe are seeking a skilled and dedicated Emergency Medicine Specialist to join our team at the Mid-Atlantic Permanente Medical Group. As a Nocturnist, you will be responsible for providing high-quality patient care in our Emergency Department, working closely with our hospitalist teams and other...
-
Intern Day Shift, LifeWork Strategies
2 months ago
Gaithersburg, United States Adventist HealthCare Full timeAdventist Healthcare seeks to hire an Intern for our LifeWork Strategies Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.As an Intern, you will: •Initiates and implements complete, comprehensive psychosocial assessments•Provides individual, group, and family therapies to clients...
-
Emergency Medicine Specialist
1 week ago
Gaithersburg, Maryland, United States Mid-Atlantic Permanente Medical Group Full timeJoin Our Team as a Specialist in Emergency Medicine - NocturnistWe are seeking a skilled Emergency Medicine Specialist to join our team at the Mid-Atlantic Permanente Medical Group (MAPMG). As a Nocturnist, you will play a critical role in providing high-quality, patient-centered care to our members in Virginia, Maryland, and the District of Columbia.About...
-
Support Specialist
3 weeks ago
Gaithersburg, Maryland, United States CSAAC Full timeJob Opportunity at CSAACCSAAC, a leading non-profit organization dedicated to supporting individuals with autism, is seeking qualified candidates for the position of Direct Support Specialist.About the RoleWe are looking for compassionate and dedicated individuals to join our team as Direct Support Specialists. As a Direct Support Specialist, you will play a...
-
Residential Counselor Weekend Day Shift
1 week ago
Gaithersburg, Maryland, United States CSAAC Full timeResidential Counselor Weekend Day ShiftCSAAC is seeking a highly motivated and compassionate Residential Counselor to join our team. As a Residential Counselor, you will play a vital role in providing direct care and support to individuals living in our group residences.Key Responsibilities:Provide one-to-one direct care and support to residents, assisting...
-
Residential Counselor Weekend Day Shift
4 days ago
Gaithersburg, Maryland, United States CSAAC Full timeResidential Counselor Weekend Day ShiftCSAAC is seeking a highly motivated and compassionate Residential Counselor to join our team. As a Residential Counselor, you will play a vital role in providing direct care and support to individuals living in our group residences.Key Responsibilities:Provide one-to-one direct care and support to residents, assisting...
-
Rehabilitation Specialist
2 days ago
Gaithersburg, Maryland, United States Sheppard Pratt Full timeJob SummaryWe are seeking a dedicated and compassionate Rehabilitation Specialist to join our team at Sheppard Pratt. As a key member of our Psychiatric Rehabilitation Day Program, you will play a vital role in supporting individuals with mental health conditions to achieve their goals and live fulfilling lives.Key ResponsibilitiesProvide individualized...
-
Service Coordinator
4 months ago
Gaithersburg, United States Sheppard Pratt Full timeResidential Rehabilitation Program (RRP) services are designed for individuals with serious mental illness who have difficulty maintaining housing. Our team helps individuals obtain housing, employment, mental health services, and more.What to expect.This is a direct care opportunity to provide support for mental health treatment. You will assess and monitor...
-
Residential Counselor Weekend All Day Shift
22 hours ago
Gaithersburg, Maryland, United States CSAAC Full timeResidential Counselor Weekend All Day ShiftCSAAC is seeking a highly motivated and compassionate Residential Counselor to join our team. As a Residential Counselor, you will play a vital role in providing one-to-one direct care and support to individuals living in group residences.Key Responsibilities:Provide individualized support to residents, assisting...
Reimbursement Specialist, Day Shift
3 months ago
As a Reimbursement Specialist, you will,
•Establishes the payment status of billed or partially paid claims.
•Determines the root cause of denial or partially paid claim.
•Contact the payer either by phone call or online payer portal to determine if the payer is requesting additional information to adjudicate the claim.
•Obtain payment or commitment from payer to pay.
•Obtains status on billed, resubmitted, appealed, and reconsideration claims.
•Determines if the claim is on file.
•Files appeal after review of a denial indicates an appeal is needed or the payer agrees to reprocess the claim.
•Requests rebill/corrections if denial has been reviewed and it is determined that a rebill is needed.
• Contact the payer either by phone call or online payer portal if determined that a denial was inappropriate or additional information is needed for adjudication.
•Routes denial to the appropriate team after a denial has been determined that another department should resolve.
•Routes claim to biller only when no claim is on file after review of the bill scrubber acceptance report.
•Transfers unpaid balance to the patient once patient responsibility has been determined.
• Review the Explanation of Benefits for clarity.
•Processes payer changes as needed.
Qualifications include:
•High School Diploma required, or some college preferred.
•A minimum of 3 years' experience within a healthcare environment can include an insurance company, public health setting, or an outsourcing company.
Work Schedule:
Day Shift (Hybrid) Monday - Friday, 8:30 am - 5:00 pm.
#GR8 Accounting & Finance
At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shiftsRecognition and rewards for professional expertise403(b) retirement planFree Employee parkingBenefits Eligible Positions:
Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]Employer retirement contribution and match after 1-year of eligible employment with 3 year vestingAncillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family membersSubsidized childcare at participating childcare centers
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered
COVID-19 Vaccination
Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and, if needed, may elect to be vaccinated at any community pharmacy or location offering COVID-19 vaccinations.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
