- 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
- 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
- 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
- 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
- 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
- Paychex (Allentown, PA)
- …prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... Paychex policies and procedures. Builds knowledge of the organization, processes, and customers. Responsibilities Please note - The person who fills this role will help support clients who are utilizing our products and service to do their own payroll via our… 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
- Saint-Gobain (Malvern, PA)
- …and acquisition. Incumbent will also be responsible for overseeing the marketing specialist that delivers on the day-to-day program activities, including but not ... vendor to ensure accurate and timely processing of rebate claims . 4. Coordinate with internal teams (eg, sales, finance,...of accuracy and attention to detail in processing rebate claims and maintaining records. + Ability to identify issues… more