- UPMC (Pittsburgh, PA)
- …should reside locally for in person training. The UPMC WorkPartners Workers ' Compensation Medical Only Claims Specialist 1 reports to the Workers ' ... Workers ' Compensation Claims Department. The Medical Only Claims Specialist 1...handling requests. + Communicate claim status with the injured worker , insured/employer, and broker as needed. + Prepare and… more
- US Tech Solutions (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and...resolution to ensure compliant, timely and accurate billing practices. Worker must live within 1 hour of the site… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- County of Northampton (Easton, PA)
- GIS Specialist Print (https://www.governmentjobs.com/careers/northamptoncounty/jobs/newprint/4774596) Apply GIS Specialist Salary $54,359.00 Annually Location ... ###. Job Description GENERAL PURPOSE The Geographic Information Systems (GIS) Specialist is responsible for maintaining assessment and other records, providing… more
- CDM Smith (Wayne, PA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Sevita (Philadelphia, PA)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...finance-related field preferred + 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of… more
- CDM Smith (Pittsburgh, PA)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Philadelphia, PA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Evolent (Harrisburg, PA)
- …resolving discrepancies. + Collaborating on ADA accommodation requests. + Assisting with Workers Comp claims . + Coordinating processes for leave, disability, and ... for the culture. **What You'll Be Doing:** Our **Leave Specialist ** plays a pivotal role in supporting the leave...of federal and state leave laws, specifically, the Family Medical Leave Act (FMLA), Americans with Disabilities Act (ADA),… more
- UPMC (Erie, PA)
- …LCSW, LPC, licensed MFT, licensed RN and/or a licensed PhD (psychologist) + Behavior Specialist OR Clinical Social Worker (CSW) OR Licensed Marriage & Family ... clinical staff and ensures that all clinical reviews are consistent with medical necessity criteria. + Monitor departmental performance against NCQA, URAC, DPW and… more
- Medtronic (PA)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more