• Lost Time Claims Specialist…

    UPMC (Pittsburgh, PA)
    UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II ! This role will predominantly work remotely, Monday - Friday daylight hours. The ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to...limited direction of supervisor. + Pro-actively manages the case resolution process. May participate in mediations within limit of… more
    UPMC (10/28/25)
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  • Insurance Specialist II - Corporate…

    Guthrie (Sayre, PA)
    …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
    Guthrie (11/19/25)
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  • Insurance Specialist I- Corporate Patient…

    Guthrie (Sayre, PA)
    …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...+ Works closely with a Denial Resolution Specialist or Billing Specialist II … more
    Guthrie (11/04/25)
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  • Buyer II - Supply Chain Procurement

    Geisinger (Harrisburg, PA)
    …and verification of prices and delivery. + Works in conjunction with sourcing specialist and end users to meet all procurement needs. + Actively manages buyer ... by the purchasing information system on a daily basis. + Checks and pursues resolution daily as defined. + Reviews and submits documentation for item additions and… more
    Geisinger (11/22/25)
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  • Coding Auditor Educator, Inpatient

    Highmark Health (Harrisburg, PA)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies… more
    Highmark Health (10/23/25)
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