- 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
- 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
- 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 (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
- 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the ... drafting and submitting technical appeals. In addition, the AR specialist is the subject matter expert for all billing...with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or payer portals. Responsible… more
- Merck (North Wales, PA)
- **Job Description** Overview: The Data Science & Analytics Senior Specialist role will collaborate with the Human Health Digital, Data and Analytics area to utilize ... + Analyze data using advanced analytical/statistical techniques from various databases/sources ( claims data/EMR data and other sources) to optimize and improve… 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
- AON (Fort Washington, PA)
- Aon is looking for an Insurance Benefits Specialist . This position will support Aon's Affinity Insurance Services group in the AICPA Insurance Programs Department ... of beneficiary changes, assignment of benefits, and life insurance and disability claims submissions for the Insurance Trust. A key accountability is supporting all… more
- 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
- 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
- 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental Insurance Companies. Primary Position ... and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist … 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
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary + Billing Specialist will work at the HMC Business Office and will be assigned to report to a Supervisor within the Business Office. The position is ... to maintain an efficient system for the daily electronic submission of claims , identifying errors and making the necessary corrections to ensure timely submission… more
- Penn Medicine (Radnor, PA)
- …of Prussia Rd **Hours** : Full-Time; Hybrid **Summary** : The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to ... or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a… more
- 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
- 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
- Hunterdon Health Care System (Flemington, NJ)
- …for supervising, planning, organizing and coordinating the daily activities of the claims processing and accounts receivables for the Acute Care billings (hospital) ... coding with coder and interfaces with Charge Master (CDM) specialist to ensure that all required CPT codes are...Epic, Affinity, NextGen, Ingenious Med (Imed), and third party claims clearinghouse vendors. + License, Registry or Certification: +… more