- A-Line Staffing Solutions (Pittsburgh, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... for immediate consideration! Or call at ###. Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting … more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **(Hybrid Schedule Possible After 90 Day Probationary Period)** Do ... you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select… more
- Select Medical (Camp Hill, PA)
- …quarterly bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more ... Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + This job… more
- 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 ... Coordinate with Third-Party Administrator and branches for investigation and resolution of TPA handled claims . + Develop...for investigation and resolution of TPA handled claims . + Develop and manage claims through… more
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... To analyze complex public entity; to provide resolution of highly complex nature and/or severe injury ...resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… more
- CVS Health (Pittsburgh, PA)
- …has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... billing or insurance collections, and/or account reconciliation/ account review/ account resolution . + 1+ years' experience in Microsoft Office Suite, specifically… more
- Penn Medicine (Radnor, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OB-GYN Billing Office **Location:** Hospital of ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Guthrie (Sayre, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- St. Luke's University Health Network (Allentown, PA)
- …billing, account resolution , credits workflow and processes. The Accounts Receivable Specialist II is focused on the accurate and timely submission of claims ... ability to pay for health care. The Accounts Receivable Specialist is responsible for the day to day operations...DUTIES AND RESPONSIBILITIES: + Process all UB04 and HCFA-1500 claims through the related billing system, working the related… more
- Travelers Insurance Company (Pittsburgh, PA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle… more
- Travelers Insurance Company (Wyomissing, PA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle… more
- Trinity Health (Springfield, PA)
- …Type:** Full time **Shift:** **Description:** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of all ... and THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates… more
- US Tech Solutions (Newtown Square, PA)
- **Job Description:** + The Contract Specialist is responsible for building, and maintaining positive working relationships between their team, Plan and other ... stakeholders. The Contract Specialist ensures contract data and documents are represented correctly...systems, functions as a pro-active contract administrator and coordinates resolution of contract administration issues relating to loading of… more
- UPMC (Pittsburgh, PA)
- **UPMC Community Medicine Incorporated is hiring a full-time Contact Center Specialist to join their team at** Pittsburgh Primary Care - Pleasant Hills! This ... medical terminology is preferred but not required._ **Purpose:** The Contact Center Specialist will provide support for the Contact Center activities by serving as… more
- Aveanna (Clearfield County, PA)
- Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 195865 Location: Du Bois, PA 15801 Category: Business Operations Salary: Starting at $20.00 ... per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal and external clients as it… more
- Healthfirst (PA)
- …is Remote Duties and Responsibilities + Responsible for case development and resolution of non-clinical cases, such as: certain types of claim denials, member ... complaints, and member and provider appeals. The end-to-end process requires the Specialist to independently: + Research issues + Reference and understand HFs… more
- US Tech Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... **Job Description:** Billing Specialist I will be responsible for qualifying, preparing...I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with… more
- US Tech Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing...I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.… more
