- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** 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 Medical! Our dynamic team has the responsibility of resolving… more
- Select Medical (Camp Hill, PA)
- …potential quarterly bonus after 90-day probation. **Patient Account Representative / Claims Resolution Specialist ** Research-focused role requiring ... independence and persistence to resolve outstanding insurance claims and advocate for patients. Strong computer skills and creative problem-solving are essential.… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims … more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...team and plays a strategic role in overseeing the resolution of Auto and General Liability claims .… more
- Zurich NA (Harrisburg, PA)
- Sr. Claims Specialist (Workers Compensation, NE Region)...within the coverage. + Work to have a timely resolution to claims by developing case strategy; ... 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or our Northeast region. This position offers a hybrid work schedule… more
- Amentum (Harrisburg, PA)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... Base Act (DBA) claims processing in support of successful claims resolution . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Supports the organization's… more
- Insight Global (Norristown, PA)
- Job Description Insight Global is seeking a Large Loss Senior Claims Specialist to join our client's team. Responsibilities will include managing complex ... workers' compensation claims , ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive… more
- Insight Global (Norristown, PA)
- …our client's team. Responsibilities will include managing complex workers' compensation claims , ensuring fair and efficient resolution while maintaining ... The ideal candidate will have extensive experience handling indemnity claims , negotiating settlements, and collaborating with medical and legal...only have a small amount of med only files. Claims total would be around 135. We are a… more
- AmeriHealth Caritas (Philadelphia, PA)
- …position is hybrid in Philadelphia, PA** **Job Summary** The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned ... case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully ... 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 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
- Travelers Insurance Company (Harrisburg, PA)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… 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 ... Medicaid (MA)/ MA Managed Care. Medicare /Medicaid Follow Up The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts… more
- Travelers Insurance Company (Wyomissing, PA)
- …a Sr Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... evaluation, and settlement negotiation to ensure timely, fair, and cost-effective resolution of claims . You will serve as a technical resource to customers, the… 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
- Robert Half Accountemps (Philadelphia, PA)
- Description We are looking for a motivated and detail-oriented Medical Accounts Receivable Specialist to join our team, working Monday through Friday from 8:00 AM to ... of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong… more
- UPMC (Bridgeville, PA)
- …via telephone, e-mail and face to face required. + Knowledge of electronic claims adjudication and resolution required + Experience with prioritizing and ... is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides...This position provides prescription data entry and adjudication of claims under the supervision of a licensed pharmacist. This… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... Repair Solutions internal payment team. + Assists with research, review and resolution of carrier issues/concerns.Communicates and coordinates resolution to all… more