- Towne Park (Philadelphia, PA)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... - 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and… more
- Towne Park (Plymouth Meeting, PA)
- …the policy guidelines. Benefits: Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, hospital ... programs. Manages day-to-day administration of benefits programs, including enrollment, claims resolution, and compliance. Supports internal communications and employee… more
- Robert Half Accountemps (Voorhees, NJ)
- Description We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you ... play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to… more
- IQVIA (Philadelphia, PA)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position,… more
- Sedgwick (Marlton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative | Auto & General Liability w/ PD & BI | ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst, where you will play a key role in driving process improvement and support ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… more
- Cardinal Health (Trenton, NJ)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider ... and reimbursement policies are priced and applied accurately. **_The Correspondence Representative 2 is responsible for:_** + Making reimbursement policy and process… more
- Virtua Health (Mount Laurel, NJ)
- …If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than ... codes, insurance information) and enters into database.Identifies and resolves denied claims , escalating accounts as necessary to ensure timely payment of … more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …50 and rated A++ by AM Best. We are looking for a Direct Billing Representative to join our team! Summary: Act on service inquiries and requests from policyholders. ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- NJM Insurance (Trenton, NJ)
- …been certified by JD Power for providing personal lines customers with an exceptional Auto Claims Experience - 7 years in a row! Our Contact Center team enjoy: + ... Lines Authority License is a plus Benefits Offered: + Medical Insurance (Blue Cross Blue Shield) + Dental Insurance...promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities… more
- Graybar (New Castle, DE)
- Are you ready? As an Outside Sales Representative , you will be selling our products and services in a specialized market. You will develop new prospects and maintain ... policies + Handle customer complaints promptly and effectively, and report potential claims + Keep management informed of local competition and market conditions +… more
- Surgery Care Affiliates (Philadelphia, PA)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits… more
- Intermountain Health (Trenton, NJ)
- …by service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... School diploma or equivalent, required + Minimum of one (1) year of full cycle medical billing experience, required + Minimum of six (6) months in a healthcare Cash… more
- Kemper (Bala Cynwyd, PA)
- …**Benefits:** Kemper offers competitive benefits including Group Life Insurance, Major Medical & Dental, Short-term & Long-term disability, 401(k) with company ... Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …the assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned ... CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Globus Medical, Inc. (Audubon, PA)
- …and insurance vendors. + Administer Short-term/Long-term Disability and Family and Medical Leave Act (FMLA) claims , including tracking and documentation. ... At Globus Medical , we move with a sense of urgency...+ Manage workers' compensation claims , including initial assessments, documentation, reporting to carriers, and… more
- Globus Medical, Inc. (Collegeville, PA)
- At Globus Medical , we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is ... patients can resume their lives as quickly as possible. Nevro (A subsidiary of Globus Medical ) is a global medical device company. We are focused on delivering… more
- AmeriHealth Caritas (Philadelphia, PA)
- …tasks for coordination of member and/or provider appeals, the analysis of claims and appeals, and the review of medical management authorizations.; ... appeals system and documents, all correspondence with a member/participant, representative and/or a provider, related to an appeal or...ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as… more
- ProSmile (Deptford, NJ)
- …Coordinator in some offices + Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection controls and systems + ... facing role required + Working knowledge of dental or medical front desk duties and responsibilities preferable + Previous...Demands and Work Environment The physical demands described are representative of those that must be met by an… more
