- FM (Malvern, PA)
- …**Skills/Knowledge:** * Extensive knowledge of policy forms, underwriting, engineering, processing , claims adjustment, the competitive landscape, professional ... reinsurers, and brokers. * Excellent interpersonal, written, presentation, negotiation, and sales skills. * Strong organizational and time management abilities * Proficiency in CRM software and Microsoft Office Suite. * Normal office environment with extended… more
- Aston Carter (Imperial, PA)
- …reflecting any changes. + Ensure prompt invoice receipt for accurate processing and cash-flow management. + Facilitate resolution of accounts payable, logistics, ... budget, year-over-year deflation, payment terms, cost of failure, and liquidated damage claims due to supplier delays. + Develop reports, analyze spend, and apply… more
- Humana (Harrisburg, PA)
- …2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie ... SQL, Python) + Knowledge of data visualization tools (ie Power BI, QlikView, Tableau) **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and… more
- Walgreens (Flourtown, 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
- Walmart (Washington, 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
- Walgreens (Levittown, 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
- GardaWorld (Mechanicsburg, PA)
- …enrollment. + Review training hours reports for accuracy before payroll processing . + Transition candidates into WinTeam and complete necessary post-hire ... + Issue employee name badges. + Process terminations and respond to unemployment claims . + Maintain transfer request reports. + Monitor driver compliance. + Ensure… more
- WellSpan Health (Greencastle, PA)
- …aspects of the provider revenue cycle, to include scheduling/registration, patient accounting, claims submission, and payment and denial processing are critical ... components of the role. **Common Expectations:** + Responsible for ensuring that high quality patient care and customer service is delivered in the most financially efficient way. + Responsible for seeking out healthcare provider business challenges and… more
- Humana (Harrisburg, PA)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is… more
- Walgreens (Murrysville, PA)
- …enhancements to pharmacy systems to further promote productivity. + 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 participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more