- Highmark Health (Camp Hill, PA)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead ... or participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of… more
- Walmart (Butler, PA)
- …Center in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... tires, and testing and installing batteries), and operating computer equipment when processing Member services. At Sam's Club, we offer competitive pay as well… more
- CVS Health (Harrisburg, PA)
- …Demonstrated experience in the **healthcare payer** industry, including familiarity with claims processing , eligibility, and provider systems. + Strong ... **mainframe experience** , including integration with modern platforms. + Proven expertise in **cloud platforms** (eg, Azure, AWS, or GCP). + Hands-on experience with **AI/ML technologies** and their application in enterprise solutions. + **Technical Skills:**… more
- Walgreens (Philadelphia, PA)
- …accordance with Walgreens standard operating procedures for entering, third party processing , filling, and dispensing prescriptions. + Assists pharmacists and other ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- CenterWell (Harrisburg, PA)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... management for all product improvement initiatives + Create monthly business reviews and present to client + Escalate issues for immediate review and action whenever necessary + Request, review and approve data used for prioritization purposes + Analyze data… more
- O'Neal Industries, Inc. (Ambridge, PA)
- …and take proper steps to adjust for damages or shortages + File mill claims and intra-district exceptions + Receive inbound shuttles and route incoming goods to ... distribution centers throughout the country that offer inventory and value-added processing capabilities tailored to market needs, all while providing high levels… more
- AmeriHealth Caritas (Harrisburg, PA)
- …Assistance Enrollment applications. This role ensures the timely and accurate processing of provider agreements and supplemental packets, maintains detailed records, ... departments to ensure accurate provider setup in systems and proper claims payment. + Adhere to all organizational policies, including confidentiality, compliance,… more
- Champion Home Builders Inc. (Strattanville, PA)
- …communication. + Benefits administration. + Records management. + Handle unemployment claims . + Payroll Processing . + Maintain confidentiality. + Administer ... Safety and Worker's Compensation + Perform other related HR or administrative duties as required. **Qualifications:** + Bachelor's degree or higher in Human Resource Management, business, or related field; or equivalent. + Minimum of 3 years of HR or similar… more
- J&J Family of Companies (West Chester, PA)
- …for surgery and better predict our product needs. Advancing in areas such as image processing to use hip xrays to predict cup and stem size + SourceView platform, ... leverage multiple data sources to drive critical insights that influence strategy; AcuityMD claims data, internal sales data from radar, NTS sales aligned data from… more
- Grant Thornton (Philadelphia, PA)
- …related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing , billing, and reimbursement, with a focus on ... enhancing financial performance and operational efficiency. + Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the… more