- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: OTO Admin Entity: CPUP Location: Hospital of the ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...St Hours: Full time regular Summary: + The Accounts Resolution Specialist II reports to the Supervisor… more
- USAA (Harrisburg, PA)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Harrisburg, PA** to join our field Team. As a Insurance… 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)
- …employs creative resolution strategies. + Promptly and properly disposition all claims within delegated authority. + Negotiates disposition of claims with ... or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff… more
- Sedgwick (Harrisburg, PA)
- …to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Life Science Claim Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex claims … 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
- Sedgwick (Erie, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate ... and analyzes claim files and/or management reports. + Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... underpaid claims by assigned payer/s and defined aging criteria to...enhance front end claim edits to facilitate first pass resolution . Identifies uncollectible accounts and performs accurate and timely… more
- UPMC (Erie, PA)
- …Center is seeking a dedicated individual to join our team as a Contact Center Specialist ! In this role, you'll be at the forefront of our Contact Center Revenue ... now to join our team as a Contact Center Specialist with Physician Network Admin. The Contact Center ...various customer related inquires. Responsible for efficient and courteous resolution to verbal and written inquiries to ensure customer… more
- Aveanna (Pittsburgh, PA)
- Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 195440 Location: Pittsburgh, PA 15233 Category: Business Operations Salary: Starting at ... $20.00 per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal and external clients… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... each day. Are you living your life's work? Job Title: Revenue Cycle Specialist Department: Emergency Department Entity: CPUP Location: Hospital of the University of… 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
- Universal Health Services (Tredyffrin, PA)
- …- UHS (https://uhs.com/about-uhs/physician-services/?redirect=www.uhsinc.com) The Lead Accounts Receivable Specialist is responsible for handling complex, escalated, ... and high dollar claims that were billed to insurance and remain unpaid....when A/R follow-up efforts do not result in timely resolution . Continually monitors AR Specialists work queues to ensure… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... 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)
- …CPT-4 coding conventions, UHDDS guidelines and CMS directives. Researchs failed claims , identifies discrepancies and communicates resolution to appropriate ... a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with… more
- TEKsystems (Mechanicsburg, PA)
- Medical Biller Team Lead (Onsite - Harrisburg, PA) *Contract to hire* Further explore this exciting opportunity below Benefits of this Role: + Formal paid training ... High school diploma or GED + Technical schooling in medical billing/coding and/or a college degree in a related...and skill development related to insurance billing and account resolution . + To provide thorough follow-up and/or re-billing of… more
- Citizens (Pittsburgh, PA)
- …clearly, listens actively, and takes notes to understand the customer's fraud claims . Handles routine customer fraud inquiries promptly and takes actions to provide ... effective verbal communication skills to gain the customer's consent on a resolution . An appropriately handled inbound call, can include an appropriate escalation,… more
- Gilead Sciences, Inc. (Harrisburg, PA)
- …of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and ... Gilead at professional events and promote company products * Partner with Medical Scientists, Marketing, and Market Access on various cross-functional projects to… more
- Universal Health Services (King Of Prussia, PA)
- …. POSITION OVERVIEW The Charge Entry Specialist is responsible for entering patient demographics, ... reason for rejections/denials and the most effective means of resolution + Retrieves demographic information, insurance information, and referrals/authorizations… more
- Travelers Insurance Company (Wyomissing, PA)
- …Partners with claim professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, ... statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and...legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more