- BrightView (Blue Bell, PA)
- …best-in-class team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** ... in Blue Bell, PA No Agency Resumes At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of the risk management team and plays… more
- Zurich NA (Trenton, NJ)
- …New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party ... Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or… more
- SERV Behavioral Health System (Hamilton, NJ)
- …a wide range of services. JOB SUMMARY: Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting ... and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a...in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Trade Operations Senior Specialist - US Market Access Operations is responsible for managing and optimizing the ... receivable, and maintaining strong relationships with customers and internal stakeholders. The Senior Specialist will also be tasked with analyzing and improving… more
- CVS Health (Trenton, NJ)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Trenton, NJ)
- …Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance ... level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine...to the team that may result in adjustment to claims . + May provide job shadowing to lesser experience… more
- Subaru of America (Pennsauken, NJ)
- …from draft to distribution). + Supports manager to provide information required in the claims system recall parameters to the SOA Claims team and composes the ... completion reports for SBR by compiling data from the SOA warranty claims system, relevant data from Oracle Business Intelligence (OBI), and information extracted… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Sr. A/R Specialist - is responsible for the claim submission and collection of all outstanding accounts. ... System departments to achieve the key performance metric targets established by Senior Leadership. CONNECTING TO MISSION: All individuals, within the scope of their… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …to achieve the HRHS CBO key performance metric targets established by Senior Leadership. CONNECTING TO MISSION: All individuals, within the scope of their ... insurance program websites + Good analytical skills, assertive in resolving unpaid claims . + Ability to work independently with minimal supervision LICENSE AND… more
- Cardinal Health (Trenton, NJ)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Philips (Mercerville, NJ)
- …important member of the Philips North America MRI Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of ... in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area,...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more