- Travelers Insurance Company (Wyomissing, PA)
- …position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and ... include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims . Provides… more
- Sedgwick (Trenton, NJ)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of ... Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB… more
- St. Luke's University Health Network (Allentown, PA)
- …of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal reimbursement ... + Provides guidance and/or assists AR specialists in third party claims submission process. + Assists in...trained. + Identifies system or procedural problems creating third party claim rejections. Formulates and implements plans… more
- MDD Forensic Accountants (Cherry Hill, NJ)
- … and economic damage + Work closely with senior staff on litigation cases, first party property, business valuations + Assist in the preparation of accounting ... trace funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims...package including PTO, sick pay, 401k and profit sharing, medical , dental, vision, life, and disability. MDD applicants will… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal ... 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)
- …mitigate claim denials. Maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution. 9. Utilize coding ... production standard expectations as set by the department. 6. Resolve medical record documentation deficiencies through healthcare provider query, and provide… more
- Performance Contracting, Inc. (Exton, PA)
- …of a signed fee agreement AND proper resume submission, PCG does not recognize any claim on a candidate by a third party , will consider unsolicited resumes the ... employees are our greatest asset. We put our people first and are proud to provide a comprehensive benefits...(ESOP) + 401(k) retirement savings plan with match + Medical , prescription drug, dental and vision insurance plans with… more
- Guardian Life (Bethlehem, PA)
- …on a multi-year journey to modernize our policy administration and claims platforms to enable a best-in-class customer experience. The Implementation Program ... encompass multiple product domains and customer segments, cross-functional teams, and third- party strategic partners. As a member of the Transformation Team, you… more
- St. Luke's University Health Network (Bethlehem, PA)
- …involving front desk operations. JOB DUTIES AND RESPONSIBILITIES: + Processes claims within assigned responsibility in a timely and efficient manner, performing ... forms from patients and performs accurate and timely verification of third party payer and worker's compensation. + Communication and/or updating of correct patient… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first ** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is ... and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first ** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... Qualifications** + Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent.… more
- St. Luke's University Health Network (Allentown, PA)
- …practices. Communicate with insurance carriers to obtain payment for prescription claims ;. At point of sale, verify that customer receives correct prescription(s);. ... of pharmacy insurance plans and plan rules; Courteous attitude; Understanding of medical terminology and calculations; Ability to type at least 35 words per… more
- St. Luke's University Health Network (Easton, PA)
- …practices. Communicate with insurance carriers to obtain payment for prescription claims ;. At point of sale, verify that customer receives correct prescription(s);. ... of pharmacy insurance plans and plan rules; Courteous attitude; Understanding of medical terminology and calculations; Ability to type at least 35 words per… more
- Publicis Groupe (Philadelphia, PA)
- …Temporary roles may be eligible to participate in our freelancer/temporary employee medical plan through a third- party benefits administration system once ... **Company description** Digitas Health is the Agency of Now: the first global connected-health agency, purpose-built for marketing today. Digitas Health specializes… more