BilingualCrossing Jobs

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Subrogation Professional 2-WAH in US - USA-MD-Bethesda

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Subrogation Professional 2-WAH in US in Bethesda Maryland Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are...

Social Media Representative 3 - Remote in US - USA-MD-Bethesda

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Social Media Representative 3 - Remote in US in Bethesda Maryland Description The Social Media Representative 3 protects company's brand image by monitoring and addressing socia...

Direct Support Professional - USA-MD-Gaithersburg

Mon, 01 Apr 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Silver Spring

Tue, 02 Apr 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Direct Support Professional - USA-MD-Rockville

Tue, 02 Apr 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Utilization Management Administration Coordinator - Remote - USA-MD-Bethesda

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Utilization Management Administration Coordinator - Remote in Bethesda Maryland Description The UM Administration Coordinator contributes to administration of utilization manage...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MD-Bethesda

Fri, 07 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

Payment Integrity Professional 2 - Remote, nationwide - USA-MD-Bethesda

Fri, 07 Apr 2023 00:00:00 CDT

Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct...

Grievances & Appeals Representative 3 (APPEALS only) BILINGUAL English/Spanish - Remote - Within Eastern Time Zone - USA-MD-Bethesda

Sun, 19 Jun 2022 00:00:00 CDT

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grieva...

RN Case Manager - Telephonic Nurse 2 -Compact Licensure Required (Remote) - USA-MD-Bethesda

Thu, 21 Jul 2022 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding memb...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-MD-Bethesda

Sat, 27 Aug 2022 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Grievances & Appeals Representative 3 (APPEALS only) FULLY BILINGUAL English/Spanish - USA-MD-Bethesda

Sun, 28 Aug 2022 00:00:00 CDT

Medical Claims Processing Representative 2 - USA-MD-Bethesda

Sun, 16 Oct 2022 00:00:00 CDT

Job Information Humana Medical Claims Processing Representative 2 in Bethesda Maryland Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, s...

Bilingual Supervisor, Grievance & Appeals - USA-MD-Bethesda

Mon, 26 Dec 2022 00:00:00 CST

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or fu...

Bilingual Admissions Counselor - USA-MD-Lanham

Tue, 31 Jan 2023 00:00:00 CST

What We’re Looking For: We are hiring a highly motivated bilingual admissions advisor who can credibly speak as a representative of large public universities. Recruiting students for our programs requ...

Process Improvement Lead - Provider Payment Integrity - USA-MD-Bethesda

Sat, 29 Apr 2023 00:00:00 CDT

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes...

Subrogation Professional II - USA-MD-Bethesda

Tue, 02 May 2023 00:00:00 CDT

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an orga...

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Pre-Authorization Nursing Supervisor - USA-MD-Bethesda

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...