- KPH Healthcare Services, Inc. (Lehighton, PA)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... and accurately each month + Maintain and keep reasonable production as determined by supervisor + May be required to travel to individual homes for meetings or drug… more
- Fresenius Medical Center (Harrisburg, PA)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... patients as necessary. + Assist with various projects as assigned by direct supervisor . + Other duties as assigned. Additional responsibilities may include focus on… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …will include the following: + Support team and report daily operations to Supervisor + Relationships with High Priority Agents + Manage Service Escalations + Conduct ... 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
- Walgreens (Levittown, PA)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor . + Develops and maintains good relationships with local medical community… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... for outpatient/CPT payor recommendations in collaboration with the OP Coding Supervisor or Network Coding Operations Director. + Responsible for maintaining… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of faculty and ... staff; + Conduct training sessions, in conjunction with the patient care coordinator supervisor , to instruct faculty and other staff; + Help in the development of… 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 ... participate in all HealthDirect required training/management programs, as requested by Supervisor + Interface with various auditors and outside agencies, as needed… more