- Adecco US, Inc. (Philadelphia, PA)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... providers and manufacturer partners. The FRM delivers tailored education and support both virtually and on-site, ensuring optimal utilization of reimbursement… more
- CVS Health (Monroeville, PA)
- …will ensure timely and accurate billing and collections for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals ... billing and collections to copay assistance programs. We will support you by offering all the tools and resources...related to copay assistance and other third party insurance claim billing associated with the dispensing medication and using… more
- Ansible Government Solutions (Philadelphia, PA)
- Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Support Assistants (MSA) to support the Philadelphia VA Medical Center ... Audio Care communications for accuracy and disposition. + Provide general reception support in the Release of Information (ROI) offices at various medical centers.… more
- UPMC (Pittsburgh, PA)
- …excellence, our Member Services Team educates and guides our members through coverage, claims , and other program inquiries. UPMC Health Plan is proud to be an ... success is driven by the compassionate attention and expert support for our members every time they connect with...clearly and simply, like how to check on a claim or what a benefit includes._ + _Solve problems… more
- Commonwealth of Pennsylvania (PA)
- …Insurance Department. + You must have experience managing audits, reserving, and claims financials. + You must have licenses, registrations, or certifications as a ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Jacobs (Moon Township, PA)
- …join us as a Contracting Officer's Technical Representative(COTR)/Resident Engineer (RE) to support the Amtrak ADA Stations Program (ADASP). The Amtrak ADA Stations ... for completion within the approved contract time and price. * Implementing claim preventive actions by working with the contractor to proactively resolve issues.… more
- Centene Corporation (Harrisburg, PA)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- CDM Smith (Harrisburg, PA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Commonwealth of Pennsylvania (PA)
- …include serving as a mentor and leader to nursing staff, providing guidance and support in their daily duties. You will be responsible for maintaining a high ... of determining your eligibility for the position. Information to support your eligibility for the position must be provided...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Commonwealth of Pennsylvania (PA)
- …for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (ie, ... need. Levels of Performance Select the Level of Performance that best describes your claim . + A. I have professional experience related to the work behavior above… more