Medical Claims Review Specialist

We are seeking a detail-oriented Healthcare Claims Specialist to join our team at Latitude, Inc.The ideal candidate will have a strong understanding of medical claims and be able to review services to ensure they are reasonable, necessary, and compliant with national/local policies and coding practices.This role involves assessing Medicare Beneficiary...

Job SummaryOklahoma AG is seeking a highly skilled Medical Claims Evaluator to join their team. The successful candidate will be responsible for reviewing and analyzing evidence of illness, injury, disease, or other medical conditions that prevent an individual from working or gaining employment.This role involves applying medical specialty knowledge in the...

CareFirst BlueCross BlueShield is seeking a skilled Medical Appeals Specialist to join our team.About the RoleThe Medical Appeals Specialist will play a critical role in ensuring that members receive fair and timely decisions on their appeals. This involves researching, analyzing, and evaluating member and provider disputes regarding adverse coverage...

Job SummaryWe are seeking a skilled Healthcare Specialist to join our team at the University of Maryland Medical System.This is a per diem position working days, Monday through Friday. As a key member of our Employee Health department, you will perform pre-employment health assessments, order and interpret routine serologic testing, and administer vaccines...

We are seeking a skilled Clinical Utilization Review Specialist to join our team at LifeBridge Health. In this part-time, weekend position, you will conduct concurrent and retrospective chart reviews to ensure clinical, financial, and resource utilization information is accurate and efficient.Job SummaryThis role requires strong critical thinking skills, the...

At LifeBridge Health, we are seeking a skilled Clinical Review Nurse Specialist to join our team. This full-time position offers an exciting opportunity to work in a dynamic environment where you can make a meaningful impact on patient care.The successful candidate will be responsible for conducting concurrent and retrospective chart reviews to assess...

Key ResponsibilitiesThis role is an exciting opportunity for a skilled nursing professional to contribute to the delivery of high-quality patient care at LifeBridge Health.Salary Range:$38.20-$59.21 per hour, based on experience.Job DescriptionAs a Clinical Utilization Review Specialist, you will play a vital role in ensuring that patients receive necessary...

About the RoleThis position at Oklahoma AG requires a medical professional with expertise in evaluating disability claims. As a Disability Medical Consultant Specialist, you will be responsible for analyzing medical records, determining the need for additional tests or evaluations, and advising non-medical staff on complex issues.The ideal candidate will...

OverviewThe Johns Hopkins Health System is a world-renowned leader in patient care, serving the greater Baltimore community and patients from across the globe.Salary Range$39.94 - $61.91 per visit, commensurate with equity and experience for roles of similar scope and responsibility.Job DescriptionWe are seeking an experienced Sr. Charge Audit Nurse to...

Job SummaryA Clinical Review Specialist - Healthcare Authorization is needed to support a leading health insurance customer. As part of the team at System One, you will be responsible for performing prospective, concurrent, and retrospective reviews for authorization and appropriateness of care determination.

We are seeking a highly skilled Medical Billing Specialist with expertise in OB/GYN billing and coding to join our team at Total Womens Health Of Balitmo. As a Medical Billing Specialist, you will play a critical role in ensuring accurate and timely payment for our patients.Job Description:Company OverviewTotal Womens Health Of Balitmo is a reputable...

About the JobWe're seeking an experienced Utilization Management Specialist to join our team. This role involves reviewing medical records, making decisions on patient care, and collaborating with healthcare professionals to ensure the best possible outcomes.The salary for this position is estimated to be around $85,000 per year, based on national averages...

About UsErickson Senior Living is a leading provider of senior living and healthcare services, dedicated to helping people live better lives.Compensation PackageThe successful candidate can expect a salary of $62,750 - $92,250 per year, commensurate with experience.Job DescriptionAs a Medical Coding and Education Specialist, you will serve as the subject...

Magnet Medical is seeking a skilled Medical Imaging Specialist to join their team in Baltimore, Maryland.Job SummaryWe are looking for an experienced and detail-oriented CT Technologist to work with our medical team in diagnosing conditions using computed tomography (CT) scanners. The ideal candidate will have excellent patient communication skills, be able...

Job Title: Medical Imaging SpecialistWe are seeking a skilled Medical Imaging Specialist to join our team as a travel MRI Technologist in Baltimore, Maryland.About the JobThis 13-week assignment offers a competitive salary of $65.00/hour, guaranteed hours of 36 per week, and a tax-free stipend amount to be determined. The shift is 12 hours, nights, with an...

We are seeking a highly skilled Medical Imaging Specialist to join our team in Baltimore, Maryland.About the JobThis 13-week contract position offers a unique opportunity to work with cutting-edge imaging technology and contribute to the diagnosis and treatment of various medical conditions.As a Medical Imaging Specialist, you will be responsible for...

OneStaff Medical is a leading provider of medical staffing solutions, and we're currently seeking a skilled Travel Medical Imaging Specialist to join our team.About the JobThis exciting opportunity will have you working as a Medical Imaging Specialist in Baltimore, Maryland, for 13 weeks, with a guaranteed 40 hours per week and 8-hour shifts. Your primary...

About the RoleIn this dynamic position as a Medical Necessity Specialist, you will play a pivotal role in ensuring that our patients receive the necessary care while minimizing financial risk.Responsibilities:Coordinate and monitor the denial management and appeals process to reduce significant financial exposure.Collaborate with physicians, utilization...

Job OverviewWe are seeking a Medical Laboratory Specialist II to join our team at the University of Maryland Medical System. This role involves performing complex testing on various sample types, maintaining accurate records, and utilizing independent judgment to generate high-quality test results.Key Responsibilities:Perform waived, moderate, and...

Job Title: Medical Imaging SpecialistWe are seeking an experienced Medical Imaging Specialist to join our team in Baltimore, Maryland.About the RoleThis is a travel opportunity for a skilled Medical Imaging Specialist to work at Johns Hopkins Bayview Medical Center. The successful candidate will have 1 year of experience in MRI technology and hold relevant...