- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full- time Lost Time Claims Specialist II! This role will preeminently work remotely, Monday - Friday daylight hours. ... their West Virginia workers comp adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers… more
- UPMC (Pittsburgh, PA)
- …the scenes to make sure things run smoothly and accurately? As a Document Process Specialist , you'll be at the front line of our claims intake process-ensuring ... insurance operations-all while contributing to the timely resolution of claims . You'll be responsible for accurately entering and validating...and takes pride in getting things right the first time , we'd love to meet you. What You'll Be… 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 ... Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES...+ Monitors retro denials to ensure resolution within required time frames and logging of action eg no appeal,… more
- CDM Smith (Harrisburg, PA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more