- 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
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... in the handling and processing of customer property damage claims that may arise from the operations or provision...chosen candidate will ensure the accurate, timely processing of claims in compliance with state regulations and company policies… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale ... based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low volume errors. Report high volume coding denial trends to… more
- Randstad US (Conshohocken, PA)
- workers compensation insurance specialist . + conshohocken , pennsylvania + posted today **job details** summary + $35 - $36 per hour + temp to perm + bachelor degree ... support occupations + referenceAB_4656113 job details As a Workers' Compensation Insurance Specialist , you will focus on overseeing and managing complex, litigated … 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
- Trinity Health (Newtown Square, PA)
- …8:30am- 5pm (1 day a week) **Position Purpose:** Home Health Billing & Collection Specialist is responsible for the processing of claims and collection of ... DSO targets, providing information as deemed necessary on the status of billed claims and outstanding accounts receivable and supporting the agency locations as it… more
- Wesley Enhanced Living (Warminster, PA)
- …Best Workplace in our industry! Hiring Immediately! The Accounts Receivable Billing Specialist is responsible for timely and efficient billing and collection of ... rate incentives and move-in incentives are posted. + Manage the processing of claims for primary and secondary payer to ensure accuracy and timely collection of… more
- R1 RCM (Jenkintown, PA)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Billing Specialist , you will help the **Billing department** manage accounts associated ... with all relevant regulations and payer requirements, and conduct thorough edits on claims to ensure they meet payer-specific guidelines and standards. To thrive in… 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 ... + Assists with other default title matters as needed. Default Title Curative Specialist : + Review all accessible information & documentation to formalize the most… more
- HNTB (King Of Prussia, PA)
- …management, document control and project management information systems. The Project Controls Specialist I assists with reporting on cost controls and schedules for ... databases + Consults with the project team or client/owner related to potential claims , claims avoidance, and claims support. + Supports the preparation of… more
- AON (Fort Washington, PA)
- Aon is looking for an Insurance Benefits Specialist . This position will support Aon's Affinity Insurance Services group in the AICPA Insurance Programs Department ... of beneficiary changes, assignment of benefits, and life insurance and disability claims submissions for the Insurance Trust. A key accountability is supporting all… more
- Phoebe Ministries (Allentown, PA)
- Skilled Nursing Biller - AR Specialist Full-time - Allentown, PA Phoebe Ministries is hiring a Skilled Nursing Biller - AR Specialist to join our long-term care ... + Service Awards & Recognition Gift Cards. Requirements for a SNF Biller/AR Specialist with Phoebe Allentown: + Degree or some course work in Business Administration… more
- Walgreens (Richboro, 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
- Guardian Life (Bethlehem, PA)
- …Support Specialist ** will provide comprehensive assistance to the Group Claims Disability Appeals, Litigation and Complaints team. This role requires outstanding ... Team. You have + 3 years preferred experience in Group Disability and/or Life claims industry. + Strong verbal and written communication skills. + Proficiency in MS… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... review. Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES AND RESPONSIBILITIES:… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate departments.… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …and rated A++ by AM Best. Duties: We are looking for a Business Development Specialist (Workers Compensation) to join our team in Melville, NY or Bala Cynwyd, PA! A ... 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
- TEKsystems (Ewing, NJ)
- Description: The Loss Analysis Specialist , performs detailed reviews on the servicing file, after claims recoveries have completed, in order to determine losses ... nature + Conduct forensic loss analysis/post-mortem on loans after claims have been paid to determine if the loss...4+ years of experience experience in mortgage servicing (Preferably Claims ) + Minimum 4+ years of experience utilizing MS… more
- JBS USA (Souderton, PA)
- …the HR staff and the TPA to avoid errors and/or delays in claims submission/payment. + Actively monitor employees' care and progress and interact with appropriate ... weekly. + Assist with continuous quality improvement of Workers' Compensation claims submission policies, procedures, processes, and programs. + Consult with… more