- UPMC (Washington, PA)
- …Responsibilities: + Evaluate accounts and recommend referrals to agencies, legal counsel , financial assistance, or bad debt. + Maintain productivity and meet ... complex reimbursement issues across multiple disciplines. + Investigate root causes of claim denials, recommend solutions, and assist with appeals and follow-up. +… more
- CVS Health (Harrisburg, PA)
- …**Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive ... to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel , providers, state regulators, etc. - Review and discuss cases with… more
- Penn Medicine (Philadelphia, PA)
- …including but not limited to, self-pay collection rates, bad debt, charge lag, claim edits, and enrollment edits. The Director will maintain a good working ... while maintaining a high standard of excellence and professionalism. Provide counsel to the COO, Division Chiefs, Physicians, Professional Fee Abstraction… more
- Comcast (Philadelphia, PA)
- …with outside organizations, including consultants, benefit vendors, and legal counsel . **Core Responsibilities** + Develops health care strategies in alignment ... with health plans consultants and Comcast's Data Services team to perform detailed claims analysis to identify underlying cost trends and assess both the financial… more
- Geisinger (Danville, PA)
- …provide benefits operational support. Provides benefit plan interpretation, guidance and counsel to employees, HRIS representatives, HR Consultants and managers, and ... employee enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims , etc. + Oversees the transfer of data to external contacts… more
- The Boeing Company (Ridley Park, PA)
- …processes and initiatives. + Participates in the discussion of legal cases and claims with in-house and outside counsel . + Researches, acquires and provides ... specific facts and data in response to, or in anticipation of, litigation. + Prepares for interpretation and dissemination of accident investigation related materials. + Participates in field investigations. + May support production safety flight incident… more
- Veolia North America (Harrisburg, PA)
- …investigation reports, and coordinates with workers' compensation coordinators and legal counsel . + Leads effective case management strategies for employee injuries ... across the division and manages workers' compensation claims to optimize outcomes and control costs. + Designs and implements division-wide behavioral-based safety… more
- Zurich NA (Philadelphia, PA)
- …trial preparation + Responding to inquiries from and interacts with customers, clients, counsel , and witnesses + Keeping track of billable hours. + Organizing and ... participating on projects as needed + Collaborating with attorneys, staff, claims professionals and leadership to accomplish successful business and litigation… more
- IMC Construction (Malvern, PA)
- …tracking contract agreements, claims , legal items, and more. + Assist General Counsel (scan, type, edit, file and mail all legal documents). + Type, edit, ... format, and mail proposals and brochures for CEO, Business Development, and Marketing Department. + Maintain President & CEO's calendar, contacts and travel arrangements. + Coordinate with President & CEO to oversee and handle building maintenance and tenant… more
- WTW (Philadelphia, PA)
- …**Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions ... needed **Client Communication** : Communicate effectively with clients, client counsel , providing updates and gathering information. **Document Management:** Prepare,… more