- Carrington (Coraopolis, PA)
- **Come join our amazing team and work remote from home!** The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, ... USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Perform...Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insurer/CMS guidelines and… more
- CVS Health (Butler, PA)
- …in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via ... refunds to patients, governmental agencies, and other third party payers. As part of the Refund team, you will work in a fast paced and team focused environment to resolve credit balances for insurance and patient balances. We will support you by offering all… more
- Travelers Insurance Company (Pittsburgh, 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
- Deloitte (Pittsburgh, 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 Finance & Accounting (Wexford, PA)
- …We are looking to hire a competent and specialized Medical Billing Specialist for a behavioral health organization. The successful candidate will be responsible ... for dealing with medical coding, handling insurance claims , payment processing, and a wide array of medical...similar role as a Billing Clerk or Medical Billing Specialist . + Prior experience in a medical billing role,… more
- UPMC (Pittsburgh, PA)
- **UPMC Community Medicine Incorporated is hiring a full-time Contact Center Specialist to join their team at** Pittsburgh Primary Care - Pleasant Hills! This ... medical terminology is preferred but not required._ **Purpose:** The Contact Center Specialist will provide support for the Contact Center activities by serving as… more
- Walgreens (Cranberry Township, 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
- Beemac Logistics (Beaver, PA)
- The Human Resources Specialist is responsible for performing HR-related duties on a professional level and works closely with other departments supporting the ... leave requests and balances. + Responsible supporting safety in Worker's Compensation claims . + Update and maintain Employee Handbook and JLMI Policies and… more
- US Tech Solutions (Monroeville, PA)
- **Job Description:** Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- US Tech Solutions (Monroeville, PA)
- **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- UPMC (Pittsburgh, PA)
- …training? Then you may be the perfect fit for our Scheduling Services Scheduling Specialist , Associate role! This role is based out of the Quantum One Building in ... serve as the first line of contact for the patient. The Scheduling Specialist , Associate acts as an advocate for patients by providing guidance, interpretation, and… more
- Robert Half Accountemps (Hermitage, PA)
- …We are offering a contract to hire employment opportunity for a Collections Specialist in the financial services industry, based in Hermitage, Pennsylvania. As a ... Collections Specialist , your main role will be managing customer accounts,...high-level customer service and resolving customer inquiries * Administer claims as part of the collections process * Utilize… more
- Lowe's (Oakdale, PA)
- …list * Maintains continuous dialogue with the 3PL partner to address and resolve claims (customer and cargo), updates Lowe's claims portal * Processes vendor ... credit for items returned by customers as damaged or defective and requests vendor return authorizations * Peforms daily inventory reconciliation with Lowe's and 3PL * Performs WMS inventory reporting and validation * Performs inventory cycle counts, audits,… more
- CROSSMARK (Pittsburgh, PA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Highmark Health (Pittsburgh, PA)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the Organization's key contact on gain/risk share multi-disciplinary team. This includes presentation of program results to both internal and external… more
- CVS Health (Butler, PA)
- …Follow Up Representative! The primary responsibilities of a Medical Collections Specialist are to ensure timely and accurate account payment for outstanding ... to patients, healthcare professionals and insurance carriers. The Medical Collections Specialist is responsible for all third party follow-up associated with the… more
- CVS Health (Butler, PA)
- …document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing ... **What you will do** + Qualifying, preparing and submitting claims to Copay Assistance program. + Work with pharmacy...and decision making skills + Certified Billing and Coding Specialist (CBCS) preferred. **Education** + High School Diploma **Pay… more
- Wabtec Corporation (Grove City, PA)
- …more! **How will you make a difference?** The Materials Planning and Execution Specialist will expedite the flow of materials (from suppliers and also within ... OTD, NCMR closure, non-nettable inventory, premium transportation, warehousing spend, POD claims , warehousing discrepancy, UX blend, fallout rates, UX processes +… more