- Highmark Health (Pittsburgh, PA)
- …issues related to supported technology. Manage utilization review, translation of foreign claims , coordination of benefits (COB), and processing of claims ... employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the… more
- Prime Therapeutics (Harrisburg, PA)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field + Must be eligible to ... analysis of Prime's financial pricing programs, including data extraction, storage, manipulation, processing and analysis + Analyze claims data of varying… more
- UPMC (Pittsburgh, PA)
- …changes so that MC400 performance around membership enrollment, billing, and claims processing is efficient and reliable. Responsible for ... business changes so that MC400 performance around membership enrollment, billing, and claims processing is efficient and reliable. . Responsible for… more
- Robert Half Accountemps (Doylestown, PA)
- …with Medicare Advantage Plans and capitation payment models. * Proficiency in processing insurance claims under various payer guidelines. * Ability to ... of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong… more
- Walmart (Mount Pleasant, PA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Canon USA & Affiliates (Harrisburg, PA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- UIC Government Services and the Bowhead Family of Companies (Letterkenny Army Depo, PA)
- …have general computer knowledge. Working knowledge of internet software; spreadsheet software, word processing software and MS Office Suite is a plus. + Ability to ... other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Select Medical (Camp Hill, PA)
- …one year of computer and high volume medical billing and/or insurance claims processing experience preferred. **Additional Data** Select Medical strives to ... you! Our team is responsible for resolving outstanding insurance claims . As a member of the account receivables team,...of the account receivables team, you'll resolve unpaid insurance claims and help ensure our patients are not being… more