Medical Claims Specialist
2 weeks ago
We are seeking a highly skilled Medical Claims Administrative Specialist to join our team at DynQuest Inc. in Fairfax, Virginia. As a Medical Claims Administrative Specialist, you will be responsible for timely processing and submission of clean medical claims to all payers, including Medicaid, Medicaid Managed, Commercial plans, and patient billing.
Key Responsibilities:
- Reviews claims for accuracy prior to timely claim filing electronically and using the CMS 1500 paper claim forms.
- Ensures the required supporting documentation is on file prior to claim submission.
- Identifies and resolves claim denials and rejections, maintains a working knowledge of the payer's appeals process.
- General Office duties like answering phones, filing, and general office tasks.
- Verifying patient eligibility with insurance companies, processing/fulfilling equipment orders.
- Adherence to established productivity and quality thresholds, company policies, and procedures.
Requirements:
- High School diploma or higher and 1-3 years of medical billing experience or similar. College degree is a plus.
- Detail-oriented individual with medical billing and collections experience or equivalent.
- Durable Medical Equipment, Medical Office, or Pharmacy experience preferred but not required.
- Experience and ample knowledge of any billing software such as Office Ally, Emdeon, or QuickBooks software preferred but not required.
- Spanish or other language is not required but a plus.
- Proficiency with Microsoft Office a plus.
About DynQuest Inc.
DynQuest Inc. is a group of companies specialized in medical equipment & supplies, specialty pharmacy, and home healthcare. As an established community partner, our primary focus is on quality patient care and outstanding professional service—all supported by a network of experienced healthcare professionals and a host of dedicated staff.
-
Litigation Claims Specialist
1 month ago
Reston, Virginia, United States DMA Claims Full timeJob SummaryDMA Claims, a leading provider of third-party claims administration services, is seeking an experienced Litigation Claims Specialist to join our team. With over 40 years of service to the insurance industry, we offer a range of services including automobile material damage and catastrophe response across the United States.Key...
-
Litigation Claims Adjuster
4 weeks ago
Reston, Virginia, United States DMA Claims Full timePosition OverviewDMA Claims, Inc., a leading provider of third-party claims administration services, is seeking an experienced Litigation Adjuster to manage a caseload of personal lines automobile claims in litigation, with a focus on Texas-based claims.Key ResponsibilitiesEfficiently manage litigated BI and PD claimsDevelop cost-effective litigation...
-
Medical Claims Specialist
1 month ago
Reston, Virginia, United States Normann Staffing Services Full timePathology Billing OpportunityNormann Staffing Services is seeking a skilled Medical Claims Specialist to join their team in Ramsey, NJ. As a key member of the Revenue Cycle Management Department, you will play a crucial role in ensuring timely payment of medical claims.Key Responsibilities:Navigate claim submission and payee websites to resolve filing issues...
-
Claims Specialist
2 days ago
Reston, Virginia, United States Constellis Full timeJob SummaryConstellis is seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for administering claims and loss control activities, maintaining relationships with third-party service providers, and recommending solutions to implement approved programs.Key ResponsibilitiesReport Defense Base Act claims...
-
Claims Resolution Specialist
4 weeks ago
Reston, Virginia, United States TPI Global Solutions Full timeJob Title: Claims Resolution SpecialistJob Summary:TPI Global Solutions is seeking a highly skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for interpreting and making decisions using independent judgment on complex policy coverage's and determining if coverage's apply to claims submitted.Key...
-
Compensation Claims Specialist
1 month ago
Reston, Virginia, United States Houston ISD Full timeJob SummaryWe are seeking a skilled Compensation Claims Specialist to join our team at Houston ISD. As a key member of our staff, you will be responsible for coordinating, preparing, and submitting claims filed by injured employees under the Texas Department of Insurance, Workers' Compensation Act.ResponsibilitiesCoordinate and prepare claims for submission...
-
Medical Support Specialist
2 days ago
Reston, Virginia, United States Specialist Office Full timeJob SummarySpecialist Office is seeking a highly skilled Medical Support Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and support in a fast-paced medical office environment.Key ResponsibilitiesCollect and process patient specimens, including blood and stool samples, for...
-
Claims Intake Specialist
3 days ago
Reston, Virginia, United States ECBM Insurance Brokers and Consultants Full timeAbout ECBM Insurance Brokers and ConsultantsECBM Insurance Brokers and Consultants is a family-owned and operated insurance broker and consulting firm based in Media, PA. We specialize in high-risk industries that require dedicated, client-based broker services in the areas of Commercial Insurance, Workers' Compensation, Employee Benefits, Cyber Liability,...
-
Automobile Litigation Adjuster
1 month ago
Reston, Virginia, United States DMA Claims Full timeJob SummaryDMA Claims, a leading provider of third-party claims administration services, is seeking an experienced Litigation Claims Specialist to join our team. With over 40 years of service to the insurance industry, we offer a range of services including automobile material damage and catastrophe response across the United States.Key...
-
Claims Data Operations Specialist
3 days ago
Reston, Virginia, United States Bernard Nickels & Associates Full timeJob Title: Claims Data Operations SpecialistWe are seeking a highly skilled Claims Data Operations Specialist to join our team at Bernard Nickels & Associates.Job Summary:The Claims Data Operations Specialist will serve as a key member of our Business Configuration team, responsible for configuring and maintaining managed vision care products in our system....
-
Medical Claims Examiner
4 days ago
Reston, Virginia, United States Ultimate Staffing Full timeJob Title: Medical Claims ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...
-
Claims Manager
1 month ago
Reston, Virginia, United States C. Winchell Agency, Inc. Full timeJob SummaryWe are seeking a highly skilled Claims Manager to join our team at C. Winchell Agency, Inc. as a Risk Oversight Specialist. This role will be responsible for leading the claims function and ensuring that all claims are handled in a timely and efficient manner.Key ResponsibilitiesOversee the claims process, including reporting and governanceDevelop...
-
Claims Resolution Specialist
3 days ago
Reston, Virginia, United States ECBM Insurance Brokers and Consultants Full timeAbout ECBM Insurance Brokers and ConsultantsECBM Insurance Brokers and Consultants is a family-owned and operated insurance broker and consulting firm based in the United States. We specialize in high-risk industries that require dedicated, client-based broker services in the areas of Commercial Insurance, Workers' Compensation, Employee Benefits, Cyber...
-
Claims Professional
1 month ago
Reston, Virginia, United States Auto-Owners Insurance Full timeAuto-Owners Insurance: A Leader in Insurance ClaimsWe are seeking a highly skilled and experienced Claims Professional to join our team. As a Field Claims Specialist, you will be responsible for handling insurance claims in the field, under general supervision, through the life-cycle of a claim, including investigation, evaluation, and claim resolution.Key...
-
Claims Configuration Specialist
3 days ago
Reston, Virginia, United States Bernard Nickels & Associates Full timeJob SummaryWe are seeking a highly skilled Claims Configuration Analyst to join our team at Bernard Nickels & Associates. As a key member of our Business Configuration team, you will be responsible for ensuring the accuracy and integrity of provider agreements, fee schedules, and network data.Key ResponsibilitiesProvide subject matter expertise for...
-
Medical Claims Processing Division Director
2 weeks ago
Reston, Virginia, United States Cornerstone Staffing Solutions, Inc. Full timeClaims Division Manager Job DescriptionJob Summary:Cornerstone Staffing Solutions, Inc. is seeking an experienced Claims Division Manager to lead a dedicated team for our progressive client. This leadership role offers the opportunity to oversee critical claims operations and drive performance improvements in a highly visible position.Key...
-
Insurance Claims Specialist
4 days ago
Reston, Virginia, United States Insight Global Full timeRole: Insurance Follow-up RepresentativeDuration: 6-Month Contract with Potential for Conversion or ExtensionShift: Onsite, Monday to Friday, 8am-4pm, 8:30am-4:30pm, or 9am-5pm, with the option to transition to a hybrid schedule after one yearAvailability to volunteer for overtime weekend shifts if meeting performance expectationsLocation: White Plains,...
-
Medical Collections Specialist
3 weeks ago
Reston, Virginia, United States Bluebird Staffing Full timeMedical Collections OpportunityWe are seeking a skilled Medical Collections Specialist to join our team at Bluebird Staffing. This is a remote opportunity with a 40-hour workweek, starting ASAP.Responsibilities:Make calls to patients, providers, and insurance companies to process past due payments and claims.Requirements:Must have experience with CPR+...
-
Medical Coding and Revenue Cycle Specialist
2 days ago
Reston, Virginia, United States IDR, Inc. Full timeIDR, Inc. is seeking a skilled Revenue Cycle and Coding Specialist to join our team in Austin, TX. As a key member of our revenue cycle team, you will be responsible for supporting all revenue cycle functions from coding to billing. Your primary role will be to collect medical claims from physicians, conduct chart reviews, and ensure compliance with...
-
Reston, Virginia, United States Fortegra Full timeSenior Claims Adjuster, Specialty ClaimsThe Senior Claims Adjuster, Specialty Claims will be responsible for handling claims nationwide. This position will complement the existing specialty claims team that supports the underwriting unit. The successful candidate will be able to provide insight and analysis on Professional Lines, E & O claims and other...