- Select Medical (Camp Hill, PA)
- …you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an ... **Overview** **Medicare Claims Resolution Specialist** **Starting at $17.00/hr but flexible...and operational needs. + Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order… more
- St. Luke's University Health Network (Allentown, PA)
- …billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner ... Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network… more
- Highmark Health (Pittsburgh, PA)
- …Network **Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours ... Yes **CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions… more
- UPMC (Pittsburgh, PA)
- …Center for Fertility and Reproductive Endocrinology office at Magee Women's Hospital !** **Hours:** Monday through Friday, daylight hours. No evenings, weekends, or ... holidays! **Location:** Magee Women's Hospital - 300 Halket St., Pittsburgh, PA 15213. --...and is primarily responsible for obtaining and tracking necessary insurance authorizations for infertility services. Requires evaluation and pre-collection… more
- Trinity Health (Darby, PA)
- …Retirement Benefits + 5 days of CME per year + Professional Malpractice Coverage ( claims w/tail included) + Insurance Benefits + Reimbursement for licensure and ... Medicine physician to join an existing Hospitalist group at Mercy Fitzgerald Hospital in Philadelphia, Pennsylvania. The schedule for this full-time opportunity is 7… more
- Highmark Health (Jefferson Hills, PA)
- …at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or ... timely, accurate bill submission to include workers compensation and motor vehicle claims . Provides or obtains signatures on regulatory paperwork as required. (40%)… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment ... years of experience as a Pharmacy Technician in a hospital , retail, or managed care setting + Certified Pharmacy...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- UPMC (Williamsburg, PA)
- …received at the office via computer reports. + Review payment listings from intermediaries and insurance companies for paid claims and also for unpaid claims ... upon the direction of the Business Office Manager. Discuss claims with CCC personnel as needed. Notifies CCC of...payments and initiation of secondary billings. + Demographic & insurance data including authorization numbers must be obtained from… more
- Sedgwick (Erie, PA)
- …efficient claim processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_**… more
- Sedgwick (Erie, PA)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more