- 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)
- …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
- Sedgwick (Erie, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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
- Penn Medicine (Philadelphia, PA)
- …future 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 (Philadelphia, PA)
- …future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: Radiation Oncology Location: Hospital of the ... Spruce St Hours: Full Time 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
- Robert Half Accountemps (King Of Prussia, PA)
- …ensure proper reimbursement. * Manage accounts receivable by following up on claims through resolution , including correcting billing errors and addressing ... Description We are looking for a detail-oriented Medical Billing Specialist to join a team in King of Prussia, Pennsylvania. This Contract-to-permanent position… 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 (Philadelphia, PA)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… 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 ... and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… 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
- Travelers Insurance Company (Wyomissing, PA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Blue Bell, PA)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Trinity Health (Springfield, PA)
- …**Description:** Mercy Home Health is seeking a full time Authorization Specialist who Monitors pending authorizations report and collaborates with both the ... clinical and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished in a remote work environment. **Position… 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 Finance & Accounting (Willow Grove, PA)
- Description We are on the hunt for a Billing Specialist to become an integral part of our team. Based in Willow Grove, Pennsylvania, this role is part of the medical ... and payer EOB payments. * Follow up on unpaid claims and denials, submitting for reconciliation or appeal if...follow-up on patient accounts to ensure timely and accurate resolution . * Utilize skills in ICD-10, CPT coding, and… more
- Dentsply Sirona (York, PA)
- …-by helping improve oral health worldwide. **Scope** The Technical Support Specialist works directly with our customers, assisting with technical aspects of ... regarding accounts, products, repairs, pricing and services offered. + Guide complaint resolution to ensure that proper and satisfactory closing is obtained from… more
- Citizens (Pittsburgh, PA)
- …effective verbal communication skills to gain the customer's consent on a resolution . + Provide accurate complete claims processing, and records management ... continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers… more
- West Pharmaceutical Services (Exton, PA)
- Sr. Specialist , Supply Management, Global Logistics Requisition ID: 69481 Date: Apr 21, 2025 Location: Exton, Pennsylvania, US Department: Supply Chain Description: ... that promote efficiency, quality, and customer service + Oversee the resolution of day-to-day plant escalated questions and issues regarding shipment visibility,… 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
- 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