- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 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
- UPMC (Pittsburgh, PA)
- The DMR Claims Service Specialist I is responsible for the resolution of Health Plan Subscriber submitted claims . In this role you will validate the ... follow up and resolve inquiries from customers regarding Direct Member Reimbursement claims . + Investigate, document, and bring to resolution , all customer… more
- Sedgwick (Pittsburgh, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- Sedgwick (Harrisburg, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
- Beemac Logistics (Pittsburgh, PA)
- …requested. + Communicate updates regularly to all parties involved. + Ensure timely resolution of claims . + Provide outstanding customer service to all parties ... This individual will be responsible for handling freight claims filed by the owner of the goods,...by the owner of the goods, investigating and settling claims in accordance with carrier liability rules, regulations and… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** OTO Admin **Location:** Hospital of the ... office hours per department needs **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 I **Department:** Ophth Clinical Support **Location:** Penn Presbyterian ... 39th 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 (Radnor, PA)
- …King of Prussia Rd **Hours** : Full-Time; Hybrid **Summary** : The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities ... are to facilitate activities necessary to a successful resolution of accounts. This position will work out of...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
- USAA (Pittsburgh, PA)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... what makes us so special! **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… 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
- St. Luke's University Health Network (Allentown, PA)
- …Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ... collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- 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...programs, etc.) to resolve any issues with payment. Facilitate resolution of discrepancies caused by payer that resulted in… more
- Penske (Reading, PA)
- **Position Summary:** The Household Expense Recovery Specialist is responsible for evaluating collection and recovery opportunities associated with consumer ... settle expense recovery opportunities and disputes. The Household Expense Recovery Specialist will research, coordinate, and negotiate with our consumer household… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist ... customer service representatives in expediting the application by providing claims general information; to track trends; to investigate client feedback both… more
- CVS Health (Monroeville, PA)
- …area has an opportunity for a full-time Medical Benefit Credit and Refund Specialist Coordinator to handle insurance credit balance follow up. The Medical Benefit ... Credit and Refund Specialist Coordinator will ensure... Coordinator will ensure timely and accurate credit balance resolution with third party payers while demonstrating excellent customer… more
- UPMC (Pittsburgh, PA)
- …home post training? Then you may be the perfect fit for our Radiology Scheduling Specialist , Associate role! This role is based out of the Quantum One Building in ... a world-class patient experience, focusing on Service Excellence and one-contact resolution with every patient interaction. Assist with managing the Scheduling… more