Add your latest resume to match with open positions.
2 results for Benefits Verification Specialist in Edgewood, MD
- Towson, MD
- onsite
- Permanent / Full Time
- 65000 - 75000 USD / Yearly
- <p>We are seeking a detail-oriented and proactive Reimbursements Specialist to support reimbursement operations and help ensure the accurate and timely processing of claims and payments. This individual will play an important role in navigating insurance requirements, resolving reimbursement challenges, and supporting customers throughout the reimbursement process.</p><p><br></p><p>The ideal candidate has a strong understanding of insurance, reimbursement procedures, and claims management, along with excellent communication, organizational, and problem-solving skills. </p><p><br></p><p>This position requires someone who can work independently, manage competing priorities, and provide exceptional service while maintaining accuracy and compliance with applicable policies and regulations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage and support reimbursement processes, including insurance verification, benefits investigations, claims submissions, and payment follow-up.</li><li>Review insurance policies and coverage requirements to determine eligibility, benefits, and applicable reimbursement guidelines.</li><li>Assist with resolving claim denials, payment discrepancies, authorization issues, and other reimbursement-related challenges.</li><li>Communicate with insurance providers, third-party administrators, and other relevant parties to obtain claim status updates and facilitate resolution.</li><li>Identify reimbursement barriers and proactively develop solutions that support timely claim processing and payment.</li><li>Maintain accurate and thorough documentation of reimbursement activities, customer interactions, claim statuses, and case resolutions.</li><li>Monitor outstanding claims and follow up on pending payments, appeals, and requests for additional documentation.</li><li>Assist customers in understanding insurance coverage, reimbursement requirements, and necessary documentation.</li><li>Ensure all reimbursement activities are conducted in accordance with applicable regulations, payer guidelines, and internal procedures.</li><li>Collaborate with internal departments to address reimbursement concerns and improve overall processes.</li><li>Identify trends in claim denials and reimbursement challenges and communicate opportunities for process improvement.</li><li>Perform additional administrative and operational duties as needed to support the reimbursement team.</li></ul><p><br></p><p><br></p>
- 2026-11-03T00:00:00Z
- Columbia, MD
- onsite
- Permanent / Full Time
- 150000 - 190000 USD / Yearly
- <p><br></p><p>The Director of Compensation, Benefits, and Payroll provides strategic leadership and oversight for the design, administration, and continuous improvement of the organization's compensation, benefits, and payroll programs. This role ensures that total rewards strategies align with business objectives, support talent acquisition and retention, promote employee engagement, and maintain compliance with all applicable federal, state, and local regulations. The Director serves as a trusted advisor to executive leadership on compensation planning, benefits strategy, workforce trends, and payroll governance.</p><p><br></p><p>Essential Responsibilities</p><ul><li>Develop and lead the organization's compensation strategy, including salary structures, market pricing, job evaluations, incentive programs, and pay equity initiatives.</li><li>Oversee the administration of employee benefits programs, including health and welfare plans, retirement programs, wellness initiatives, leave programs, and vendor relationships.</li><li>Provide strategic oversight of payroll operations, ensuring accurate and timely payroll processing, compliance with tax regulations, and effective payroll controls.</li><li>Partner with executive leadership and Human Resources to align compensation and benefits programs with organizational goals and workforce planning initiatives.</li><li>Lead annual compensation planning activities, including merit increases, incentive compensation, salary budgeting, and market analysis.</li><li>Monitor industry trends, labor market conditions, and regulatory changes to maintain competitive and compliant compensation and benefits programs.</li><li>Evaluate and recommend improvements to total rewards programs that enhance employee attraction, retention, and engagement.</li><li>Ensure compliance with all relevant laws and regulations related to compensation, benefits, payroll, wage and hour requirements, and employee leave programs.</li><li>Manage relationships with external consultants, brokers, auditors, and third-party payroll and benefits providers.</li><li>Develop reporting and analytics related to compensation, benefits utilization, payroll metrics, labor costs, and workforce trends.</li><li>Lead, mentor, and develop compensation, benefits, and payroll team members to support operational excellence and succession planning.</li><li>Support mergers, acquisitions, reorganizations, and other business initiatives through compensation, benefits, and payroll integration planning.</li></ul>
- 2026-10-19T00:00:00Z