- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... Select the "Level of Performance" which best describes your claim . + A. I have experience gathering information regarding...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... Select the Level of Performance that best describes your claim . + A. I have paid or volunteer experience...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- CVS Health (Harrisburg, PA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more
- Humana (Harrisburg, PA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Sedgwick (Harrisburg, PA)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- Robert Half Accountemps (Scranton, PA)
- …Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment ... of medical billing procedures. Responsibilities: + Process, review, and submit claims to insurance carriers efficiently and accurately. + Verify patient insurance… more
- CVS Health (Harrisburg, PA)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim ... efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory… more
- Philips (Malvern, PA)
- **Your role:** + Working with various commercial insurnace payers to resolve claims and denials. + Escalating payor issue trends for leaderships consideration along ... with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. + Developing and maintaining… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …assistance programs. This includes call center services (inbound and outbound) and claims processing operations. They are part of a highly concierge 'white glove' ... for a degree. + Minimum three years leading a claim /customer service or related team in a production or...call center needs with expertise in insurance verification and claims + Ability to effectively evaluate performance, resolve complaints,… more
- Commonwealth of Pennsylvania (PA)
- …of PerformanceSelect the Level of Performance that best describes your claim . + A. I have experience instructing AND physically assisting individuals ... addresses the items listed below which relate to your claim . If you indicated you have no work experience...PerformanceSelect the Level of Performance that best describes your claim . + A. I have experience gathering information regarding… more