Claims Program Specialist Job at Marriott Bonvoy (Bethesda)

Employee Relations Specialist

As an Employee Relations Specialist, you will be leveraging your skills in Claim...

Location

United States , Beaverton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least three years of experience in an Employee Relations Specialist role or a similar position
Proficiency in Claim Administration
Excellent Communication skills
Demonstrated experience in Complaint Handling
Familiarity with Compliance procedures and regulations in employee relations
Proven ability in Disciplining Employees in a fair and consistent manner
Experience in conducting Employee Relations Investigations
Experience in designing and delivering Employee Training programs
Experience in dealing with Union Grievances
Knowledge of NeoGov software is a plus

Job Responsibility

Conduct thorough investigations related to employee relations matters
Address and resolve employee relations issues efficiently
Provide expert guidance on labor and employment matters
Support in developing innovative workforce policies related to employee relations
Assist in the creation and implementation of training programs for employees
Handle complaints and administer claims related to employee relations
Ensure adherence to compliance and disciplinary measures
Manage and resolve union grievances
Use NeoGov for efficient process management
Prepare and maintain detailed investigation reports

What we offer

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Fulltime

Medical Billing Specialist

Location

United States , Dothan

Salary:

Not provided

RealTime (AL)

Expiration Date

Until further notice

Requirements

Medical Billing Experience
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Perform claim follow-up
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs

Job Responsibility

Medical billers play a vital role in the connection between health care providers, patients, and insurance companies. At RealTime, we provide excellent Revenue Cycle Management to medical practices across the Southeast and through the Midwest.

What we offer

Training
Competitive pay
Phone allowance
Generous PTO
401(k) with company match
Health & Wellness Benefits including medical, dental, and vision
Company-sponsored events for fun and fellowship

Fulltime

Workers Compensation - Claims Specialist

We are looking for a Workers Compensation - Claims Specialist to join our team o...

Location

United States , Saint Louis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma required
two years of college education preferred
Minimum of 1 to 3 years of experience in insurance, preferably workers' compensation or claims handling
General knowledge of insurance programs and workers' compensation claims processes
Proficiency in Microsoft Excel, Word, Outlook, and claims management systems such as Origami and Travelers
Strong analytical skills with the ability to interpret data, identify trends, and prepare detailed reports
Familiarity with collective bargaining agreements and legal exposure related to workers' compensation
Experience in evidence preservation, including handling video and document storage
Knowledge of civil litigation, discovery, trial preparation, and case management software

Job Responsibility

Serve as a point of contact for employees, gathering detailed information about injuries and educating them on the injury management process
Organize, analyze, and maintain comprehensive files for all work-related injuries, ensuring accurate documentation of claims
Manage medical-only claims and maintain a detailed diary of case progress
Coordinate return-to-work programs and collaborate with business partners to facilitate modified duty arrangements
Conduct annual reviews and updates of wall posters in stores, detailing medical treatment facility locations
Facilitate claim reviews and collaborate with external partners on investigations and settlements
Analyze data trends to create precise reports and recommend settlements during claim review meetings
Ensure proper reporting of claims, including questionable cases, and assist in determining coverage lines within the workers' compensation program
Preserve evidence such as video and documentation related to claims
Communicate with insurance carriers, injured employees, and other stakeholders to ensure timely submission of necessary forms and records

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Billing Specialist

As the Billing Specialist for our Bardy Diagnostic division, you will be respons...

Location

United States , Houston

Salary:

41600.00 - 57200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
3+ years of experience in a medical related business environment required
Billing database software experience required
Clearinghouse and payer portal experience preferred
Knowledge of insurance industry and third-party payer processes
Proven data entry skills required
Ability to organize and prioritize workload
Strong attention to detail and accuracy
Ability to work independently and manage workload
Strong written, verbal, and interpersonal communications

Job Responsibility

Oversee the billing process for customers and patients
Coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices
Ensure all posting of charges are accurate
Submit and re-submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc.)
Ensure the efficiency of billing operations by following federal and state billing regulations
Review supporting documentation and posted charges for completeness and accuracy
Complete quality review of patient files to ensure claims are billed accurately and comply with each payer’s rules and regulations

What we offer

Support for Parents
Continuing Education/ Professional Development
Employee Heath & Well-Being Benefits
Paid Time Off
2 Days a Year to Volunteer
Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts

Fulltime

New

Billing specialist

As the Billing Specialist for our Bardy Diagnostic division, you will be respons...

Location

United States , Houston

Salary:

41600.00 - 57200.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
3+ years of experience in a medical related business environment required
Billing database software experience required
Clearinghouse and payer portal experience preferred
Knowledge of insurance industry and third-party payer processes
Proven data entry skills required
Ability to organize and prioritize workload
Strong attention to detail and accuracy
Ability to work independently and manage workload
Strong written, verbal, and interpersonal communications

Job Responsibility

Oversee the billing process for customers and patients
Coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices
Ensure all posting of charges are accurate
Submit and re-submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Achieve maximum reimbursement for services provided across all lines of business
Ensure the efficiency of billing operations by following federal and state billing regulations
Review supporting documentation and posted charges for completeness and accuracy
Complete quality review of patient files

What we offer

Support for Parents
Continuing Education/ Professional Development
Employee Heath & Well-Being Benefits
Paid Time Off
2 Days a Year to Volunteer
Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP)
401(k) Retirement Savings Plan (RSP)
Flexible Spending Accounts

Fulltime

Care Management Specialist II, D-SNP Team

The Care Management Specialist II utilizes clinical skills and training to perfo...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing for Registered Nurses OR Master's Degree in Social Work for Licensed Clinical Social Workers
Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments
Experience providing care management with complex/catastrophic conditions
Current knowledge of clinical standards of care and disease processes
Critical thinking skill
Excellent customer service skills
Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions
Ability to triage immediate member health and safety risks
Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping
Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders

Job Responsibility

Utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines
Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases
Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner
Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit
Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team
Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines
Uses claims processing and care management software to look up member information, document contacts, and track member progress
Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs
Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives
reviewing member claims histories and identifies intervention opportunities through the professional standards of practice

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Claims Specialist

We are looking for an experienced Claims Specialist to join our team in Los Ange...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience managing workers' compensation claims
Strong knowledge of medical management processes and workers' compensation regulations
Excellent organizational skills with the ability to track and process claim information efficiently
Effective communication skills for liaising with supervisors, employees, and insurance adjusters
Ability to work collaboratively with hospital managers and injured employees
Proficiency in computer systems for inputting and auditing claim data
Detail-oriented approach to managing deadlines and ensuring compliance
Commitment to maintaining accurate records and providing timely updates

Job Responsibility

Manage a portfolio of modified duty and lost time claims, ensuring accurate and timely updates
Coordinate the forwarding of work-related injury medical records to insurance adjusters
Input medical record data into the system and communicate initial diagnoses and work statuses to supervisors
Assist injured employees and hospital managers in implementing early return-to-work programs
Schedule follow-up medical appointments and ensure documented medical statuses are secured within 24 hours of each appointment
Relay outcomes of medical appointments to supervisors and insurance adjusters within 24 hours of receipt
Monitor lost time and modified work statuses in the system, maintaining accurate tracking
Maintain regular communication with insurance adjusters every 60 days until claims are resolved
Conduct audits of claim data and related information to ensure accuracy and compliance
Perform monthly audits on organization-related data to support operational efficiency

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Branch Support Specialist

The Branch Support Specialist is responsible for being the primary contact for b...

Location

United States , Santa Rosa

Salary:

27.30 USD / Hour

Allied Universal®

Expiration Date

Until further notice

Requirements

High School diploma or equivalent
Prior work experience in a professional administrative environment
Able to focus and multi-task in a busy environment
Ability to successfully handle stressful situations in a calm and professional manner
Effective management skills
able to coordinate with multiple employees with diverse personalities and engage them to perform at optimum levels
Highly proficient and fully functional in all Microsoft Office applications and able to effectively utilize all available office management technology
Ability to take initiative, successfully handle and prioritize multiple competing assignments and effectively manage deadlines

Job Responsibility

Maintain employee personnel, medical, and benefit files
maintains branch I-9 files in accordance with company policies and legal policies
Assist Corporate Human Resources with the annual open enrollment process
provide first-line answers to benefit related questions or works with corporate benefits to identify answers for employees
Oversee administration of company uniform program, including sizing, issuance of uniforms, timely return of uniforms, assistance with replacements, and maintaining all paper and electronic files associated with the program
Assist with the workers’ compensation claims management by issuing and obtaining claim paperwork, collecting statements, and coordinating with Corporate Human Resources on doctor’s notes and return to work programs
Receive initial notices from employees and supervisors for leave of absence requests/needs and coordinates with Corporate LOA department to provide initial information and oversee flow of related paperwork
Maintain post-hire WinTeam data entry
coordinate with Payroll to ensure changes are completed properly
respond to questions as needed

What we offer

Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company’s 401(k)plan, subject to eligibility requirements
Eight paid holidays annually, five sick days, and four personal days
Vacation time offered at an accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law

Fulltime

Claims Program Specialist

Marriott Bonvoy

Location:
United States , Bethesda

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 13, 2026

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Location:United States , Bethesda

Category:Office Administration

Contract Type:Not provided

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Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:February 13, 2026

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