Claims Processing Associate

1 week ago


Middle River, United States Excelsia Injury Care Full time
About Us

At Excelsia Injury Care, we specialize in providing management services to a variety of healthcare organizations across multiple states, ensuring the delivery of high-quality integrated healthcare for individuals dealing with neuro-musculoskeletal injuries. Our managed healthcare entities offer a comprehensive range of office-based rehabilitation, diagnostic services, surgical interventions, and pain management, all delivered by compassionate and skilled professionals who oversee each patient's journey from assessment to treatment, aiming for optimal recovery outcomes. We are recognized leaders in care delivery for personal injury and workers' compensation cases, with a strong history of facilitating patients' return to their highest level of activity in a timely manner. Our commitment to providing efficient and compliant services adheres to all relevant legal, regulatory, and ethical standards, reflecting our dedication to integrity. We strive to be responsible corporate citizens, integrating ESG (environmental, social, and governance) principles into our business practices. Our mission is to enhance the operations of the healthcare companies we support, alongside benefiting our employees and the communities we serve.

Key Responsibilities
  • Utilizing computer systems effectively
  • Engaging with Electronic Health Records (EHR)
  • Scanning and uploading necessary documentation
  • Communicating with legal representatives and their staff
  • Preparing claims and related correspondence
  • Dispatching claims and notes to insurance providers
  • Addressing workers' compensation denials
  • Conducting follow-ups on Accounts Receivable
  • Possessing knowledge of Pennsylvania Workers' Compensation Law
  • Understanding WCAIS and Bureau documentation
  • Managing email correspondence
  • Handling phone communications
  • Demonstrating multitasking abilities
  • Performing additional duties as assigned
Qualifications
  • High School diploma or GED equivalent
  • Familiarity with insurance plans, workers' compensation, and personal injury cases
Essential Skills and Competencies
  • Exceptional verbal and written communication abilities
  • Proficiency in computer applications, including Windows, Outlook, and Microsoft Office
  • Strong problem-solving and organizational capabilities
  • Attention to detail
  • Ability to manage multiple tasks simultaneously
  • Confidence in working independently
  • Typing speed of 50+ words per minute
  • Understanding of insurance guidelines, billing, and collection processes
  • Ability to interact effectively with healthcare professionals, attorneys, patients, and colleagues
Physical and Mental Requirements

Ability to sit, stand, walk, reach overhead, bend at the waist, kneel, climb stairs, extend arms at shoulder height, and lift up to 20 lbs.

Diversity Statement

Excelsia Injury Care is committed to equal opportunity employment. We uphold a policy of non-discrimination and equal opportunity for all employees and qualified applicants, regardless of race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital status, civil union or partnership status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local laws.

  • Middle River, United States Johns Hopkins University Full time

    We are seeking an A/R Revenue Cycling Specialist who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing applications. This role communicates with payers to resolve issues and facilitate prompt payment of claims. Follows up with insurance companies to collect...


  • Middle River, United States Johns Hopkins University Full time

    We are seeking an A/R Revenue Cycling Specialistwho will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing applications. This role communicates with payers to resolve issues and facilitate prompt payment of claims. Follows up with insurance companies to collect...


  • Middle River, United States Johns Hopkins University Full time

    We are seeking a AR Revenue Cycle Specialist II responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ PBS billing applications. Will conduct on-line research to locate information to resolve issues across different sub-specialties and/or relating to high-cost procedures....


  • Middle River, United States Johns Hopkins University Full time

    Position OverviewWe are looking for an Accounts Receivable Specialist to manage the collection of outstanding third-party claims and standard appeals through various applications. This role involves effective communication with payers to address issues and ensure timely payment of claims. Key Responsibilities- Utilize A/R follow-up systems to track unpaid...


  • Crystal River, Florida, United States PedIM Healthcare Full time

    About UsPedIM Healthcare is a leading provider of high-quality healthcare services. We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team.BenefitsComprehensive Health Insurance with dental and vision coverage401K Plan with 4% match after 1 year of servicePaid Time OffOpportunities for Professional Development and...


  • Middle River, United States Johns Hopkins University Full time

    Job SummaryWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Johns Hopkins University. As a key member of our Production Unit Billing department, you will be responsible for the collection of unpaid third-party claims and standard appeals.Key ResponsibilitiesClaims Collection and Appeal: Utilize various JHM applications and JHU/PBS...


  • Elk River, Minnesota, United States NovaTech Industries Full time

    Job SummaryWe are seeking a highly skilled Claims Manager to join our team at NovaTech Industries. As a Claims Manager, you will be responsible for handling customer claims in a professional and timely manner.Key ResponsibilitiesClaims Handling: You will be the primary point of contact for customers in case of damage, and will actively support the successful...


  • Gold River, United States Zurich Insurance Company Ltd. Full time

    Zurich is currently looking for Claims Shared Services Support II to work out of Gold River, CA or Schaumburg, IL. In this role you will provide a wide variety of administrative tasks for our market facing and shared services team members across the Claims organization. You will be expected to effectively collaborate with colleagues to efficiently deliver...


  • Fall River, Massachusetts, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our team members, ensuring that our culture of support extends to you, our esteemed colleague. A position with us means embracing a workplace that values flexibility and recognizes the importance of work-life balance. It is an opportunity to engage in meaningful work every day, with comprehensive support for your...


  • Fall River, Massachusetts, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our employees, recognizing that taking care of our team is essential to our mission. A career with us means embracing a culture of support and flexibility, allowing you to balance your professional and personal life effectively. Here, you have the chance to engage in meaningful work every day, with resources...


  • Fall River, Massachusetts, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our employees, fostering a culture that values care and support. Joining our team means embracing a flexible work environment that allows you to balance your professional and personal life. It’s an opportunity to engage in meaningful work that positively impacts individuals and organizations alike. We are...


  • Fall River, Massachusetts, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our team members, ensuring that our culture of support extends to every colleague. A position with us means enjoying flexibility and having the time to focus on what truly matters in your life. It is a chance to engage in meaningful work every day, backed by resources that support your mental, physical,...


  • Fall River, Massachusetts, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our colleagues, ensuring that you feel valued and supported. A career with us means embracing a culture of compassion and flexibility, allowing you to balance your professional and personal life effectively. It’s an opportunity to engage in meaningful work every day while receiving the necessary support for...

  • Parts Associate

    2 weeks ago


    Middle River, United States Eastern Lift Truck CO Full time

    EASTERN LIFT TRUCK IS HIRING A PARTS ASSOCIATE FOR OUR DUNDALK, MD BRANCH Eastern Lift Truck Co. a leader in forklift sales and service for over 50 years, was built on the motto "We're Known For Good Service." We provide excellent sales and service in all areas of the Material Handling Industry including Lift Trucks, Compactors and Balers, Commercial Dock...


  • Middle River, United States Food Lion Full time

    Category/Area of Expertise: Retail Operations Job Requisition: 335364_external_USA-MD-Middle-River Address: USA-MD-Middle River-1413 Fuselage Ave Store Code: Store 01405 Market (7264982) Food Lion has been providing an easy, fresh and affordable shopping experience to the communities we serve since 1957. Today, our 82,000 associates serve more than 10...


  • Thief River Falls, Minnesota, United States State Farm Full time

    Property Claims Field Specialist Job Overview Join a leading organization dedicated to professional development and employee well-being. At State Farm, we prioritize investing in our team members by offering a comprehensive Total Rewards package.Starting Salary: $59,000 - $79,000 annually (equivalent to $29.31/hr - $39.32/hr). Our compensation structure is...


  • Middle River, United States Food Lion Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Retail Sales Associate to join our team at Food Lion. As a key member of our front-end team, you will be responsible for providing exceptional customer service, operating a cash register, and maintaining a clean and organized store environment.Key ResponsibilitiesProvide fast, easy, flexible,...

  • Warehouse Associate

    2 months ago


    Middle River, United States Colliflower Inc Full time

    Job DescriptionJob DescriptionColliflower, Inc. is a customer-focused distributor of quality fluid connectors. We have been delivering superior quality Parker Hannifin hoses and fittings since 1951. We fabricate and sell a wide variety of fluid connector products including: hydraulic & pneumatic hoses, metric, tube, & brass fittings, quick couplings,...


  • Middle River, United States Excelsia Injury Care Full time

    About Our Organization At Excelsia Injury Care, we specialize in providing comprehensive management services to a variety of healthcare entities across multiple states, ensuring the delivery of high-quality integrated healthcare for individuals experiencing neuro-musculoskeletal injuries. The healthcare organizations we oversee offer a wide range of...


  • Middle River, United States Johns Hopkins University Full time

    Position Overview:We are looking for a dedicated Medical Coding Analyst who will be responsible for the accurate assignment of diagnosis and CPT codes across various departmental billing operations. This role involves reviewing and coding charges for diagnosis and CPT to ensure proper entry into the billing systems.Key Responsibilities:Procedural...