- Merck & Co. (North Wales, PA)
- …data leveraging advanced statistical techniques from disparate databases or sources ( claims data, EMR/EHR, lab, and other sources) to drive optimization and ... pharmaceutical landscape.Expertise in mining and analyzing secondary real-world evidence data ( claims data, EMR/EHR, lab, etc.) and proven record of being able… more
- Comhar Inc. (Philadelphia, PA)
- …to this position as directed by related supervisors.Admissions/Prior Authorization Specialist Job Duties: Process client admissions.Track Discharges and submits to ... agencies invoices.Ensures a responsive system for authorization of services and payment of claims by monitoring the COMHAR billing system for laps in service as well… more
- BrightView (Blue Bell, PA)
- Job Summary + The AL/GL Claims Specialist is a key member of the risk management team and has responsibility for directly investigating and settling in-house ... claims and oversight of Third-Party Administrator Claims . This role formulates and executes claim investigation and settlement strategies and ensures that… more
- AON (Fort Washington, PA)
- Aon is looking for a Client Service Specialist We are looking for a Client Service Specialist to join our Commercial Solutions team. This is a remote ... and clients succeed. Your impact as a Client Service Specialist As a Client Service Specialist , you...resolves problems. + Advise and assist clients on making claims on their policies + Maintain insured files and… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Trinity Health (Springfield, PA)
- …Type:** Full time **Shift:** **Description:** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of all ... and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished...and authorization is received timely for the submission of claims . Responds to all system issues by preparing documentation… more
- Deloitte (Philadelphia, PA)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- Robert Half Accountemps (Trevose, PA)
- …Friday. A property management company has 3 different positions open (Default Title Specialist , Default Title Curative Specialist , REO Specialist ). Default ... years of Curative/REO/Foreclosure/Purchase Title experience preferred. Default Title Curative Specialist : + Review all accessible information & documentation to… more
- US Tech Solutions (Newtown Square, PA)
- **Job Description:** + The Contract Specialist is responsible for building, and maintaining positive working relationships between their team, Plan and other ... stakeholders. The Contract Specialist ensures contract data and documents are represented correctly...Demonstrates a functionally working knowledge of Facets or other claims system, including the contract management and provider data… more
- AON (Fort Washington, PA)
- Aon is looking for a Customer Service Specialist II! As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... a variety of day-to-day client service work including processing claims , working with brokers, policy endorsements, certificates, binders, payments, cancellations,… more
- AON (Fort Washington, PA)
- Aon Is Looking For An Operations Specialist II This position will support Aon's Affinity Insurance Services group in the AICPA Insurance Programs Department and will ... of beneficiary changes, assignment of benefits, and life insurance and disability claims submissions for the Insurance Trust. A key accountability is supporting all… more
- Teleflex (Wayne, PA)
- Reimbursement Access Specialist **Date:** Aug 14, 2024 **Location:** Wayne, PA, US **Company:** Teleflex **Expected Travel** : Up to 25% **Requisition ID** :10816 ... that make a difference in patients' lives. **Position Summary** The Reimbursement Access Specialist is a highly visible, front-line position that reports to the Sr.… more
- Penn Medicine (Philadelphia, PA)
- …day-to-day administrative tasks. Through efficient and accurate coding, the Practice Coding Specialist I will help ensure claims are properly coded and ... requirements. + May also review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the...+ Certified Procedural Coder - CPC or Certified Coding Specialist - CCS is required. + RHIA or RHIT… more
- Burlington (Burlington, NJ)
- …in 45 states and Puerto Rico and we are in search of a Property Management Specialist to be a part of our growth. As an off-price retailer we generate more than ... sales through our nationwide network of stores. As a Property Management Specialist , you will be responsible for maintaining lease compliance from commencement… more
- Walgreens (Warminster, PA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title:Senior Billing Specialist Entity: HUP Department: Radiation Therapy, Oncology Location: Perelman Center for ... system as it pertains to compliance and Radiation Oncology billing guidelines. Work all claims in EPIC (Pre-AR and Payer related edits) to ensure timely billing to… more
- Penn Medicine (Radnor, PA)
- …each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- 1500 Market ... Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor of Billing; primary...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …50 and rated A++ by AM Best. Duties We are looking for a Business Solutions Specialist / Sr. Specialist to join our team! Summary - Analyzes company operations, ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …rated A++ by AM Best. Duties We are looking for a Salesforce Training Specialist to join our team: Summary: The Salesforce Training Specialist assesses learning ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
