Claims Denial Prevention Specialist

Greater Baltimore Medical Center (GBMC); Baltimore (MD); On-site; USD 27,000 - 41,000; Full time

Job summary

GBMC HealthCare in Baltimore, MD, seeks an insurance claims reviewer to maintain and coordinate daily insurance correspondence under general supervision. The role involves coordinating resources to proactively thwart denials and applying AHIMA, CMS, and AHA coding guidelines to ensure accurate adjudication.

Candidates typically have 2–4 years of experience in medical claims review and medical terminology expertise, with strong typing skills and the ability to work independently in a fast-paced

Qualifications

• Specialized training in coding/abstracting procedures and medical terminology.
• Experience with medical claims adjudication.
• Training obtained through seminars and college courses.

Responsibilities

• Maintain and coordinate oversight of daily insurance correspondence.
• Coordinate resources to proactively thwart potential denials.

Skills

Medical terminology

Coding guidelines

Computer literacy

Research ability

Conflict resolution

Typing speed

Independent work

Education

Coding/Abstracting Training

Job description

GBMC HealthCare in Baltimore, MD, seeks an insurance claims reviewer to maintain and coordinate daily insurance correspondence under general supervision. The role involves coordinating resources to proactively thwart denials and applying AHIMA, CMS, and AHA coding guidelines to ensure accurate adjudication.

Candidates typically have 2–4 years of experience in medical claims review and medical terminology expertise, with strong typing skills and the ability to work independently in a fast-paced