- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of underwriting staff members, including technical and/or support staff, to ensure timely processing of new and renewal RQI, quoting and issuance of new and/or ... to these issues. + Acts as liaison in solving processing and compliance issues involving other departments (example IT,...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Dal-Tile Corporation (Philadelphia, PA)
- …+ Performs receiving duties such as receiving and unloading inbound material, processing inbound shipments, stocking material, processing customer returns, and ... notifying management of damaged shipments for freight claims . + Operates crane forklift equipment. + Maintains clean and organized facility by sweeping, removing… more
- Walmart (Pottsville, PA)
- …ensuring parts are retained in accordance with warranty guidelines; and creating and processing warranty claims to ensure proper credit is received in accordance ... Tech or equivalent, Using computer applications (eg email, spreadsheets, word processing ) ASE Certification - Certification **Primary Location ** 390 Highridge Park… more
- Highmark Health (Wexford, PA)
- …authorization department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that ... for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment… more
- KPH Healthcare Services, Inc. (Washington, PA)
- …for the initial submission, resubmission and collection of all third party claims + Responsible for the management and balancing of the pharmacy inventory ... still remaining in-stock for customer needs. Oversees the transmitting, processing and receiving of orders to and from the...is responsible for checking pharmacy inventory for outdates and processing of all returns + Insures prescription files and… more
- Humana (Harrisburg, PA)
- …specified time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote ... role and will provide coverage for** **Eastern time zone hours** **.** **Training** + Virtual Training will start day one of employment and runs the first 6-8 weeks with a schedule of 8:00 AM - 4:30 PM EST, Monday - Friday. **Work Schedule Following Training**… more
- Humana (Harrisburg, PA)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations,… more
- Healthfirst (PA)
- …+ Experience in clinical practice with experience in appeals & grievances, claims processing , utilization review or utilization management/case management. + ... Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines + Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as… more
- Select Medical (Harrisburg, PA)
- …employment status reports for payroll, HR and/or compliance purposes. + Processing and maintaining all workers' compensation claims , unemployment requests, ... FMLA and leaves of absences. + Providing services that include applicant sourcing, recruiting and employee orientation. + Establishing employee relations and helping to maintain a culture of excellence. + Doing payroll weekly. + Maintaining compliance for all… more
- BJs Wholesale Club (Plymouth Meeting, PA)
- …maintained. + Administers all personnel paperwork, including completing and processing new hire paperwork, hourly wage increases, hourly promotions, terminations, ... worker's compensation, and unemployment claims . + Supports club talent acquisition efforts by, among other things, ensuring the in-club hiring table and all… more