1,057 Results for

Claims Specialist Jobs in Capitol Hill, WA

Jobs

Sterling, VA

p>Download the Sparks Group mobile app from Apple App Store or Google Play..

Manage customer routine, AOG, and initial provisioning tooling purchase orders including maintaining order status records, organizing and hosting customer tooling conference calls, answering customer order inquiries and providing price quotes.

3 days ago

Alexandria, VA

Remote

p>As a Workers Compensation Associate Claims Specialist, you will develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training.

Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

18 days ago

Rockville, MD

$61,053–$98,334 / year
Part time

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management.

30+ days ago

Alexandria, VA

Remote

p>Responsibilities:

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.

18 days ago

$74,678–$121,371 / year

Additional Telecommunications Relay Services options are available in each state: https://www.fcc.gov/general/trs-state-and-territories. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA.

9 days ago

Rockville, MD

$52,999–$85,473 / year

ABOUT CORVEL:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

30+ days ago

Rockville, MD

$61,053–$98,334 / year

ABOUT CORVEL:

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

30+ days ago

Washington, DC

The ideal candidates are smart, capable college graduates, paralegals, legal professionals, healthcare or finance and accounting professionals to support the full claims lifecycle on settlement administration engagements.

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy.

4 days ago

Camp Springs, MD

$46,610–$91,815 / year

GS-7: One (1) year of specialized experience at the GS-5 level (or equivalent) that demonstrates the ability to (1) assist individuals in establishing their entitlement to receive benefits (e.g., retirement, disability, public aid, insurance, taxes, etc.); (2) adjudicate, authorize or reconsider claims; (3) explain benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) entitlements or requirements to the general public; (4) evaluate benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program operations to assess the integrity and quality; or (5) interpret benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program requirements to formulate policies, procedures or guidelines. If you are using experience to qualify, you must have: GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) review problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing.

30+ days ago

Alexandria, VA

Remote

Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

30+ days ago

$99,200–$118,100 / year

Alternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients.

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.

17 days ago

Remote

$137,496–$164,934 / year

li>

Essential Responsibilities:

Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

18 days ago

Remote

$156,000–$187,500 / year

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Qualifications / Experience Required:

A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through:
A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.

23 days ago

Baltimore, MD

$60,000–$80,000 / year

At Under Armour, we are committed to empowering those who strive for more, and the companys values - Act Sustainably, Celebrate the Wins, Fight on Together, Love Athletes and Stand for Equality - serve as both a roadmap for our teams and the qualities expected of every teammate. Handles a multitude of tasks simultaneously while maintaining focus and effectiveness, maintaining a high productivity level to maximize the productivity of the department leadership.

24 days ago

$76,085–$125,000 / year

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In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

12 days ago

Washington

p>The primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence.

REQUIRED EDUCATION AND EXPERIENCE:

Minimal of High School Graduate with Associate’s Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred;
Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry;
Strong background in self-funding, stop loss or claims administration required.

10 days ago

$18.50–$42.35 / hour

p>In this role, you will:

Perform adjustments across all dollar amount levels on customer service platforms, specifically by using technical and claims processing expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

3 days ago

$89,508–$137,128 / year

Examples of specialized experience include functioning as a lead worker or performing quality control functions in reviewing caseloads (e.g., income maintenance, benefits, pension plans, health insurance, etc.); adjudicating, authorizing, investigating or reconsidering claims; and evaluating benefit programs to assess the integrity and quality of operations. Additional Telecommunications Relay Services options are available in each state: https://www.fcc.gov/general/trs-state-and-territories.

9 days ago

Washington, District of Columbia

You will evolve in an ultra-dynamic, innovative, agile, internationally-focused structure and integrate our talented teams, full of ideas and motivation and with multidisciplinary skills, at the crossroads of the digital eco-system and the fast-changing automotive sector. Born from the merger of the Stellantis Group and the start-up TravelCar, Free2move, thanks to its agility and its spirit of conquest has managed to establish itself in just few years as a reference player to revolutionize the mobility of all travellers.

11 days ago

$93,598–$121,680 / year

Information about CTAP eligibility is on OPMs Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/. Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), https://www.va.gov/EMPLOYEE/docs/The-Fair-Chance-to-Compete-Act.pdf.

9 days ago

Rockville, Maryland

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Please submit your resume and a brief summary of your relevant experience in estimating, project management, restoration, reconstruction, construction, commercial work, multifamily work, or property claims.

Flexible work from home options available. The Claims Loss Specialist is expected to take ownership of assigned jobs, prepare accurate estimates, communicate with all parties involved, sell the job and help manage the project through production and closeout.

26 days ago

Rockville, MD

$60,000–$80,000 / year

The Claims Loss Specialist is expected to take ownership of assigned jobs, prepare accurate estimates, communicate with all parties involved, sell the job and help manage the project through production and closeout. Please submit your resume and a brief summary of your relevant experience in estimating, project management, restoration, reconstruction, construction, commercial work, multifamily work, or property claims.

24 days ago

Silver Spring, MD

$64,965.62–$99,000 / year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 20812 20814 20815 20816 20817 20818 20832 20833 20850 20851 20852 20853 20854 20855 20860 20889 20895 20896 20899 20901 20902 20903 20904 20906 20910 20912. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

16 days ago

Baltimore, MD

$79,500–$148,500 / year

p>Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment.

Qualifications: · 5 years of insurance field/property claims handling or adjusting experience · Solid experience/proficiency with Xactimate · Solid experience writing own estimates and handling claims start to finish · Strong customer service competency · Strong written & verbal communication skills.

30+ days ago

Washington

$62,500–$115,500 / year

For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf.

30+ days ago

Maryland

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

4 days ago

Remote

$35,900–$51,300 / year

Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Education & Experience: Bachelor's degree (or equivalent experience) in Business, Finance, Accounting, Healthcare Administration, or a related field; 5-7+ years in claims resolution, financial operations, or related roles, including 2-3+ years of leadership experience.

30+ days ago

Remote

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.

30+ days ago

Baltimore, MD

$57,978–$94,498 / year

Experience: Have three years of experience in medical claims or ambulance services billing and collection work in a workers' compensation unit, ambulance services billing unit, hospital, health maintenance organization or insurance firm. Eligible candidates under final consideration for appointments to positions identified as positions of trust will be required to complete authorization for a Criminal Background Check and/or Fingerprint must be successfully completed.

17 days ago

College Park, MD

$24–$28 / hour

Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.

30 days ago

Work At Home, MD

$17–$28.46 / hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.

24 days ago

Chantilly, VA

$85,600–$141,200 / year

Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.

30+ days ago

$91,000–$143,000 / year

li>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles.

Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.

10 days ago

PHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.

25 days ago

Baltimore, MD

Remote

Full time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

30+ days ago

Remote

The Opportunity: Manage an inventory of accounts in a team-based environment for medical payments, third-party liability, and health benefits coverage to include: • New and priority accounts to be worked within client specified protocols, including coverage investigation. A specialist must be able to multi-task, prioritize as necessary to timely resolve account for payment, and maintain a high level of professionalism during all correspondence with auto payers, health payers and attorneys daily.

30+ days ago

Baltimore, Maryland

p>A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions.

The Entry-Level Medical Billing Specialist will assist with preparing and reviewing insurance claims, updating patient and insurance information, supporting basic billing and coding processes, and helping patients with billing-related questions.

10 days ago

Washington

Leveraging your strong attention to detail and at least three years of experience in billing for primary care or specialty medicine, you will be responsible for managing accounts receivable, investigating and resolving insurance claims, and supporting our commitment to outstanding customer service.

Participates in educational activities and enhances knowledge and skills to keep up to date of current coding changes, fee schedules, and applicable state and federal programs as they relate to claim submission.

4 days ago

Falls Church, VA

The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.

30+ days ago

District of Columbia

We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.

10 days ago

Remote

$20.57–$36.27 / hour

p>Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance.

Knowledge, Skills, and Abilities:

Effective negotiating skills to include ability to resolve complex billing and collection situations with individual patients or third-party payers.

30+ days ago

Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

25 days ago

$28.76–$48.96 / hour

li>Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.

30+ days ago

Bethesda, Maryland

p>The Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.

30+ days ago

Arlington, VA
$25–$26.45 / year
The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. ?Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
30+ days ago

Reston, VA
What you will do in this role:You will perform follow up activities on accounts to ensure prompt paymentYou will identify coding or billing errors from EOBs and work to correct themYou will monitor insurance claims and contact insurance companies to resolve claims You will update the patient account record to identify actions takenYou will assign bad debt accounts to the collection agency You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid)You will complete account reconciliation of accounts turned over to outside agenciesYou will negotiate payment plans on self-pay accounts You are responsible for maintaining accounts receivable and creating a reduction in bad debt Qualifications you will need:Minimum (1) year of experience in a medical office setting highly preferred. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
30+ days ago

DC
STRUCTURAL offers a wide range of specialty repair and maintenance services and is the largest concrete repair contractor in the United States, with roughly 2,500 employees working from locations nationwide and in select international markets.
STRUCTURAL integrates technology-driven solutions with specialty contracting services to improve, protect, and enhance the existing infrastructure of owners directly, and in partnership with designers and contractors.
30+ days ago

Columbia, Maryland
div>
Structural Group, Inc., develops and integrates products, engineering support, repair and maintenance services to provide value-added solutions to owners, engineers and contractors.
Our ideal candidate is an innovative but decisive individual who can work effectively in a highly collaborative, team-based environment; has the ability to set goals and expectations; is approachable, empathetic and outgoing; can quickly gain trust and respect; and is able to establish and maintain relationships.
30+ days ago

Aspen Hill, MD
The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: https://caretalkhealth.com/california-privacy-notice.
• 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred).
20 days ago

VA
2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
These jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis.
17 days ago

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Claims Specialist Jobs in Capitol Hill, WA

Tooling Services Order Specialist Sparks Group

Associate Claims Specialist - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Senior Liability Claims Specialist CorVel Enterprise Claims, Inc.

Senior Claims Specialist I - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Social Insurance Specialist (Claims Specialist) (ICTAP) (Temporary) Social Security Administration

Liability Claims Specialist CorVel Corp

Senior Liability Claims Specialist CorVel Corp

Claims Analyst / Settlement Claims Specialist Lee Hecht Harrison

Field Office - Claims Specialist (Bilingual) (Spanish) Social Security Administration

Associate Claims Specialist Liberty Mutual Holding Company Inc

Senior Environmental Technical Claims Specialist Argo Group International Holdings Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings Inc

Global Casualty Claims Specialist Under Armour Inc

Claims Specialist Sr - Professional Liability Sedgwick Claims Management Services, Inc.

Stop Loss Claims Specialist Marsh McLennan

Senior Claims Benefit Specialist CVS Health Corp

Social Insurance Specialist (Claims Technical Expert) (ICTAP) (Temp) Social Security Administration

Senior Claims & Insurance Operations Specialist - US Free2move

Veterans Claims Examiner (Training/Quality Specialist) U.S. Department of Veterans Affairs

Claims Loss Specialist Restoration Estimator & Project Manager PuroClean Metropolitan Washington

Claims Loss Specialist Restoration Estimator & Project Manager PuroSystems LLC

Claim Specialist - Property Field Inspection State Farm

Field Claims Adjuster III, PL Property (Flex Team) Nationwide Mutual Insurance Co

Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance Co

Claims Representative I Elevance Health

Claims and Finance Lead - Washington, DC - Onsite Gainwell Technologies LLC

Senior Claim Benefit Specialist - Remote CVS Health Corp

Medical Claims Processor II- Baltimore City Fire & Police Employees Retirement System City of Baltimore

Claims Investigator - Part Time Allied Universal

Claim Benefit Specialist CVS Health Corp

Technical Specialist, Construction Claim The Travelers Companies Inc

Senior Consultant- Epic Resolute Hospital Billing Claims and Remittance Deloitte Touche Tohmatsu Ltd

Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.

Sr Claims Reviewer TriWest Healthcare Alliance

Revenue Recovery Specialist, MVA RSource LLC

Entry-Level Medical Billing Specialist Reveljobs

Medical Billing Specialist Audigy

Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTON

Billing Specialist I (Medical Billing PB) Savista

Patient Accounts Specialist II - Physicians Billing MedStar Health Research Institute

Dental Insurance Specialist CorroHealth Inc

Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research Institute

Medical Billing Specialist MedVanta Careers

Insurance Credit Resolution Specialist Privia Health Group, Inc

Medical Collections Specialist HCA Healthcare Inc

Senior Safety Specialist Structural Group Inc

Licensing Specialist Structural Group

Junior Revenue Cycle Management (RCM) Specialist - Hybrid Bethesda, MD CareTalk Health

Patient Access Specialist - UVA Health Haymarket Emergency Department University of Virginia

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