Claims Professional

6 days ago

Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

We are seeking an experienced Claims Professional to join our team in Washington DC.

About Us:

Healthcare Legal Solutions, LLC is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems. We are a small, fast-growing firm with lots of opportunities for new employees to prove themselves and a great team culture. Our office environment is young, positive, and social, and we hope that you will contribute to this dynamic.

Job Summary:

This role offers valuable experience within a boutique law firm specializing in healthcare law. As a Claims Professional, you will assist with following up on administrative appeals and documentation submitted to health insurers and governmental payers. You will work well with attorneys and paralegals, maintain the workload, work under pressure, and be a team player.

Compensation: $45,000 salary+

Duties and Responsibilities:

  • Work within the client's Patient Accounting system, payer portals, and/or websites, and utilize proprietary software to research accounts in the work queue.
  • Determine action required to resolve the underpayment and initiate that action, including submitting appeals and reconsideration requests.
  • Utilize increased knowledge of the industry, hospital revenue cycle, and payers/insurance companies to document the account and provide information and details to support paralegal's/attorney's pursuit for additional reimbursement.
  • Quickly and efficiently prepare, review, and submit well-written claims correspondence and related documents to insurers.
  • Be skilled, aggressive, cordial, and professional on the telephone to follow up on submitted appeals.

Requirements:

  • BA/BS with a GPA of 3.0 or higher
  • Interest in healthcare and healthcare law.
  • Navigate through various computer systems and applications to find information about insurance claims.
  • Ability to prioritize and multi-task.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office, including Word and Excel.
  • Excellent organizational and time management skills.
  • High attention to detail.
  • Clear, concise, and logical writing style.

  • Claims Specialist Professional

    5 days ago

    Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

    Job Title: Claims Specialist ProfessionalAbout UsHealthcare Legal Solutions, LLC is a healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems.Job DescriptionWe are seeking a highly skilled Claims Specialist whose primary function will be to investigate claim denials, perform...

  • Healthcare Claims Professional

    2 days ago

    Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Claims Specialist to join our team at Healthcare Legal Solutions LLC. As a Claims Specialist, you will play a crucial role in investigating claim denials, performing rebills, and communicating with health insurance companies.Key ResponsibilitiesInvestigate claims denials and perform...

  • Adjuster for Claims Resolution

    6 days ago

    Washington, Washington, D.C., United States Property Claim Professionals Full time

    Job Overview:Property Claim Professionals, a dynamic organization supplying quality claims outsource solutions to insurance carriers nationwide, is seeking multi-line adjusters in your area. As an independent insurance adjusting firm, we excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business...

  • Claims Processor Coordinator

    2 days ago

    Washington, Washington, D.C., United States Hamilton Enterprises, LLC Full time

    About Hamilton Enterprises, LLCHAMILTON ENTERPRISES prides itself on integrity, a dedication to providing high-quality work products and services, and an excellent work environment. Our company maintains a commitment to provide employees with fulfilling careers while maintaining a healthy life-work balance.Job Summary:We are seeking a Claims Processor who...

  • Building Claims Analyst

    3 days ago

    Washington, Washington, D.C., United States The Vertex Companies, LLC Full time

    We are seeking an experienced Construction Consultant to join our Surety team at VERTEX, a global professional services firm offering integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consulting.About the RoleThis Construction Consultant position provides a unique opportunity to utilize your...

  • Director of Claims Management and Strategy

    3 days ago

    Washington, Washington, D.C., United States Criterion Executive Search Full time

    Job SummaryWe are seeking a highly motivated and experienced DIRECTOR OF CLAIMS MANAGEMENT AND STRATEGY to join our team in Columbia. This role offers an exciting opportunity for a seasoned professional to drive business growth and excellence through effective claims management and strategy.About the RoleThe ideal candidate will have at least 10 years of...

  • Independent Claims Adjuster for Property and Liability Cases

    4 weeks ago

    Washington, Washington, D.C., United States Property Claim Professionals Full time

    Job OverviewProperty Claim Professionals, a dynamic organization providing quality claims outsource solutions to insurance carriers nationwide, is seeking experienced multi-line adjusters to join their team.We offer a competitive $75,000 - $100,000 annual salary, depending on experience and qualifications. Our company was built by insurance industry experts...

  • Medical Claims Specialist

    4 weeks ago

    Washington, Washington, D.C., United States Gentle Dental Full time

    Company Overview">Gentle Dental is a reputable dental care provider dedicated to delivering exceptional patient experiences. Our commitment to quality and compassion sets us apart, making us an attractive choice for professionals seeking a fulfilling career.Salary and Benefits">We offer a competitive salary range of $36,000 - $40,000 per year, commensurate...

  • Healthcare Review Professional

    4 weeks ago

    Washington, Washington, D.C., United States Healthcare Legal Solutions LLC Full time

    Job DescriptionWe are seeking a skilled Clinical Review Specialist to join our team at Healthcare Legal Solutions LLC.Salary: $45+ per hour, with eligibility for monthly bonuses after 90 days of employment and potential benefits including 401k, health insurance, disability insurance, and commuter benefits upon conversion to full-time.Responsibilities:Draft...

  • Insurance Sales Professional

    3 days ago

    Washington, Washington, D.C., United States Pooja Hemnani - State Farm Agent Full time

    Job OverviewPooja Hemnani - State Farm Agent is seeking a fully licensed professional in both property casualty and life and health insurance for a hybrid position. This role combines sales-oriented tasks with entrepreneurship spirit and goal-oriented mindset.We are offering a competitive $60,000-$80,000 per year salary to the right candidate, depending on...

  • Front Desk Professional

    3 days ago

    Washington, Washington, D.C., United States Masc Dental Studio PLLC Full time

    About the RoleThis is an exciting opportunity to join our dynamic team as a Front Desk Receptionist! You will play a vital role in ensuring the smooth operation of our practice and providing exceptional patient care.We require someone with excellent organizational skills, a positive attitude, and the ability to work effectively in a fast-paced...

  • Valet Parking Professional

    3 days ago

    Washington, Washington, D.C., United States Ladgov Corporation Full time

    We are seeking a Valet Attendant to join our team at Ladgov Corporation in Columbia, South Carolina.Job SummaryThis is a full-time position that requires a valid driver's license and the ability to operate vehicles of all types. The successful candidate will be responsible for safely parking vehicles, providing excellent customer service, and maintaining a...

  • Orthopedic Medical Assistant Professional

    7 days ago

    Washington, Washington, D.C., United States Greater Maryland Orthopedics Full time

    Medical Assistant Job DescriptionIn this dynamic role, you will provide top-notch patient care, work collaboratively with healthcare professionals, and contribute to the success of our orthopedic practice. As a medical assistant, your primary responsibilities will include managing front desk duties, interacting with patients, and supporting procedural...

  • Front Desk Dental Professional

    2 weeks ago

    Washington, Washington, D.C., United States Quadrant Inc Full time

    Front Desk Role at Quadrant IncAs a key member of our front desk team, you will be responsible for providing exceptional patient care and administrative support to our dental professionals. This is an excellent opportunity to work in a dynamic and growing practice.About the Job:Work in a high-volume dental office settingCollaborate with dentists, hygienists,...

  • Injury Law Assistant Professional

    4 weeks ago

    Washington, Washington, D.C., United States Price Benowitz LLP Full time

    Job OverviewWe are seeking a highly skilled and motivated Injury Law Assistant Professional to join our Personal Injury Practice at Price Benowitz LLP in Washington, D.C.Key Responsibilities:Drafting correspondence and preparing FOIA requestsObtaining and organizing documentation required for pre-litigation stagesCoordinating with investigators to obtain...

  • Dental Front Desk Professional

    4 weeks ago

    Washington, Washington, D.C., United States Masc Dental Studio PLLC Full time

    Job OverviewWe are seeking a highly organized and friendly Dental Front Desk Professional to join our team at MASC Dental Studio PLLC.This role is crucial in ensuring a positive experience for our patients, handling administrative tasks, and contributing to the overall efficiency of our practice.Key Responsibilities:Greet and welcome patients with a...

  • Managed Care Coordinator Healthcare Professional

    4 weeks ago

    Washington, Washington, D.C., United States Experis Full time

    Experis is seeking a Managed Care Coordinator to join their team. This role involves applying clinical expertise, administrative policies, and established criteria to ensure the delivery of cost-effective, high-quality care.About the JobThe Medical/Behavioral Eligibility Review Specialist evaluates medical or behavioral service requests for eligibility,...

  • Building Consultant

    2 days ago

    Washington, Washington, D.C., United States The Vertex Companies, LLC Full time

    About the RoleWe are seeking an experienced Construction Consultant to join our team. In this role, you will have the opportunity to work on complex projects, evaluate construction claims, and assess project risks. Your responsibilities will include monitoring and inspecting construction activities, reviewing and interpreting construction documents, and...

  • Insurance Industry Professional

    3 days ago

    Washington, Washington, D.C., United States Pooja Hemnani - State Farm Agent Full time

    **About Us:**Pooja Hemnani - State Farm Agent is a leading insurance agency dedicated to providing exceptional service and personalized solutions for all your insurance needs.We are seeking a highly motivated and licensed Insurance Account Position to join our team. As an Insurance Account Position, you will play a crucial role in managing client insurance...

  • Infrastructure Development Manager

    2 days ago

    Washington, Washington, D.C., United States The Vertex Companies, LLC Full time

    We are currently seeking a highly skilled Construction Consultant to join our Surety team at VERTEX, a leading professional services firm providing integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consulting.About the JobThis Construction Consultant position involves evaluating construction...