- Commonwealth of Pennsylvania (PA)
- …will be on the coordination of care for at-risk youth who are involved in multi- systems by having meetings to develop a multi- system service plan that will meet ... CASSP Coordinator (County Mental Health Program Specialist 1 (LG))...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- CVS Health (Harrisburg, PA)
- …with GPS, SCM, ECHS, and Total Payment Solution (TPS) * Knowledge of ACAS claims systems * Familiarity with e.Policies **Anticipated Weekly Hours** 40 **Time ... tied to different overpayment projects in the Overpayment Tracking System , revalidate overpayment files, send claims to...instructions provided by our constituents to properly review ACAS claims for overpayment * Utilize GPS for claim… more
- Sedgwick (Philadelphia, PA)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
- CVS Health (Monroeville, PA)
- …in the Monroeville area has an opportunity for a full-time Medical Copay Card Coordinator . As a Medical Copay Card Coordinator , you will ensure timely and ... accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare...free parking. **Key Responsibilities of the Medical Copay Card Coordinator :** + Third party copay assistance billing associated with… more
- Guthrie (Sayre, PA)
- … logic or processes and provides feedback to ensure accurate and timely clean claim submissions. Other Duties: 1. Utilizes Epic system functions accurately to ... in order to determine appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations… more
- CVS Health (Harrisburg, PA)
- …are scheduled during core business hours. **Required Qualifications** 2 years HRP claims processing or customer service experience -SCM system -ASD -OPT-not ... checks from providers and/or members to determine if a claim is overpaid. If the claim is...for overpayment, and add information into the overpayment tracking system (OPT). Flex time is available however, core business… more
- CVS Health (Harrisburg, PA)
- …people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module (CTM) ... queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be… more
- International Paper (Atglen, PA)
- HR Coordinator Description: **Position Title:** HR Coordinator **Pay Rate** : $57,200 - $76,300 _Multiple factors, including Individual experience, skills and ... activities for new hires. + Maintains the Affirmative Action Planning system , including maintaining annual logs for internal job postings, hires, terminations,… more
- Valmont Industries, Inc. (Midland, PA)
- …Safety Playbook and Environmental and Sustainability Playbook for the site. The EHS Coordinator must be able to align the site's EHS activities with Valmont's ... division leadership teams. It is critical that the EHS Coordinator assists others in their growth and knowledge in...health and safety events such as injuries, workers compensation claims , near miss incidents and internal and external inspections.… more
- CVS Health (Monroeville, PA)
- …will ensure timely and accurate billing and collections for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals ... complex accounts related to copay assistance and other third party insurance claim billing associated with the dispensing medication and using the bill method… more