- Walmart (Willow Grove, PA)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Highmark Health (Harrisburg, PA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
- Penn Medicine (Lancaster, PA)
- …shelves and verify all associated paperwork. + Assists in the creation, handling, processing and maintenance of a variety of pharmacy records, to promote efficient ... + Communicates with insurance carriers to obtain payment for prescription claims . Facilitates employee payroll deduction and/or medical billing for payment capture… more
- UPMC (Moon Township, PA)
- …coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as ... rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience. **Licensure,… more
- Geisinger (Danville, PA)
- …accounts consisting of accounts per Revenue Management Service Line Specialist and/or the processing of claims . Job Duties + Performs hospital and professional ... billing and collection functions within the revenue cycle to include, but not limited to hospital and professional billing and collection functions, hospital and professional secondary collections, Accounts Receivable resolution, adjustments, credit balance… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …system with accuracy and detail. + Verify and validate information before processing . Qualifications: + High School Diploma or Equivalent + Prior Data Entry/Rating ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Prime Therapeutics (Harrisburg, PA)
- …those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing , Prior Authorization, Telephony, Membership, etc.). + Consideration will be ... given as to the candidate's proficiency and ability to contribute in the role based upon the following: + Professional/related publications written and/or contributed to + Contributions to Blogs + Technical certifications such as those offered by SAS, IBM,… more
- Walmart (Pittsburgh, PA)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …or related experience. Prior authorization experience; knowledge of insurance verification, claims processing , managed care preferred. Knowledge of ICD9/CPT ... Coding or Medical Terminology preferred. EQUAL OPPORTUNITY Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or… more
- Walgreens (Pittsburgh, PA)
- …pharmacy errors and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational… more