• Claims Specialist

    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
    Robert Half Accountemps (12/09/24)
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  • Life Claims Specialist - Individual…

    Guardian Life (Bethlehem, PA)
    …for you to grow and enrich your career and future as a Life Claims Specialist . We believe in your aspirations for purpose, leadership, and achievement ... help build the core proficiencies you will need to be a successful Life Claims Specialist . In your first year, we will provide extensive training in a highly… more
    Guardian Life (12/13/24)
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  • Claims and Denial Coding Analyst

    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
    St. Luke's University Health Network (10/16/24)
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  • Accounts Receivable Specialist - Hospital…

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Accounts Receivable Specialist is responsible for the day to day operations of accounts receivable for ... account resolution, credits workflow and processes. The Accounts Receivable Specialist II is focused on the accurate and timely...is focused on the accurate and timely submission of claims to third party payers, intermediaries, and guarantors in… more
    St. Luke's University Health Network (12/05/24)
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  • Patient Accounts Specialist 1

    KidsPeace Childrens Hospital (Schnecksville, PA)
    Job Summary The Patient Account Specialist is responsible for accurate and timely billing of all services delivered as well as ensuring all revenue is collected. Job ... Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed...Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary… more
    KidsPeace Childrens Hospital (12/21/24)
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  • Technical Specialist , Specialty Liability…

    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
    Travelers Insurance Company (12/07/24)
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  • Project Controls Specialist I

    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
    HNTB (11/02/24)
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  • Skilled Nursing Biller - AR Specialist

    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
    Phoebe Ministries (10/31/24)
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  • Senior Specialist , Central Contract…

    Merck (North Wales, PA)
    **Job Description** The Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing ... teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core… more
    Merck (12/20/24)
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  • Coding Appeals Specialist

    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 (11/09/24)
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  • Denials Management Specialist , Full Time,…

    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 (12/28/24)
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  • Surgical Review Specialist

    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
    St. Luke's University Health Network (10/31/24)
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  • Lead Event Specialist Part Time

    Product Connections (Allentown, 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
    Product Connections (11/19/24)
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  • Client Service Executive Officer, CSS

    Travelers Insurance Company (Blue Bell, PA)
    …their partnerships with the company. Operational Support * Supporting the Operations Account Specialist (OAS): the CSEO works closely with the OAS to ensure that ... a quote strategy on new accounts. + Coordinate with the Operations Account Specialist on loss pick development, packaging of proposal and pricing, and all other… more
    Travelers Insurance Company (12/17/24)
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  • Marketing Manager, Rebates & Rewards Program

    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
    Saint-Gobain (12/04/24)
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