- Norstella (Harrisburg, PA)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- Sedgwick (Harrisburg, PA)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Prime Therapeutics (Harrisburg, PA)
- …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
- Devereux Advanced Behavioral Health (Braddock, PA)
- …policies, ensuring compliance with relevant laws and regulations. This will include processing enrollments, changes, and claims related to benefits (including ... unemployment and workers' compensation claims ), as well as managing employee leaves of absence, including FMLA and other leave of absence types. This role will… more
- International Paper (Atglen, PA)
- …accuracy of shared files and databases. + Ensures timely and accurate processing of human resource-related forms; researches and furnishes employee information to ... to FMLA, disabilities, and return to work. + Processes all unemployment-related claims ; participates in any appeal hearings or other activities related to… more
- House of Blues (Philadelphia, PA)
- …Maintains and monitors records of all incident reports and workers comp claims - investigates and manages all pending cases, including interviewing staff and ... all hours worked for team members into the payroll system for timely processing + Oversee the issuing of all venue credentials, business card orders, invoices,… more
- AscellaHealth (Berwyn, PA)
- …preferred, including benefit design, specialty pharmacy services, rebate management, claims processing , and clinical program implementation. + Experience ... promotional strategy that aims to increase the demand for a product's Rx claims as well as AscellaHealth services. + New Client Installations: Lead onboarding and… more
- Ansible Government Solutions (Philadelphia, PA)
- …phone calls. + Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. + Review ambulance claims ... write English. + Utilize computer programs appropriately, usually involving spreadsheets, word processing , etc.; log in; type 40-50 wpm with minimum errors. + Heavy… more
- Select Medical (Camp Hill, PA)
- …Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + ... bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist** candidates need to be more **research-focused, and… more
- WellSpan Health (Waynesboro, PA)
- …callers with various requests, concerns, and inquiries. Responsible for processing payments, establishing payment plans, adding/billing insurance information, and ... identification data, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions. + Reviews accounts and… more