- Sedgwick (Harrisburg, PA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Harrisburg, PA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **Open to remote for candidates outside of commutable...to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- Humana (Harrisburg, PA)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer… more
- St. Luke's University Health Network (Allentown, PA)
- …and coordination of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal ... requirements, UB04 and 1500 requirements by payer, computer capabilities as related to claims production, and admitting/ medical records input as they affect … more
- Commonwealth of Pennsylvania (PA)
- …and investigate within required time frame. ACM 3 will coordinate medical , social, psychological or functional evaluations for consumers assigned to them, ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- CenterWell (Harrisburg, PA)
- …knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more
- Commonwealth of Pennsylvania (PA)
- Licensed Practical Nurse - Delaware Valley Veterans' Home (1st Shift) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5183927) Apply Licensed ... Practical Nurse - Delaware Valley Veterans' Home (1st Shift) Salary $67,558.00 - $84,331.00 Annually Location...offer of employment may require satisfactory completion of a medical examination. + This position falls under the provisions… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse - Delaware Valley Veterans' Home (1st Shift) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5187072) Apply Registered Nurse ... - Delaware Valley Veterans' Home (1st Shift) Salary $92,052.00 - $109,766.00 Annually Location...offer of employment may require satisfactory completion of a medical examination. + This position falls under the provisions… more
- Commonwealth of Pennsylvania (PA)
- …Specialist, DDAP (Philadelphia County) Salary $59,345.00 - $90,211.00 Annually Location * Home Headquartered, PA Job Type Civil Service Permanent Full-Time Job Number ... / Division Bureau of Program Licensure/Licensing Inspection Division Worksite Address Home Headquartered Contact Name Larissa Kreiger Contact Email ###@pa.gov +… more
- Commonwealth of Pennsylvania (PA)
- …and overnights. + Telework: You may have the opportunity to work from home (telework) part-time, upon successful completion of a training period. In order to ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....US holidays, as well as flexible work schedules and work-from- home opportunities.* Values and Culture We believe in the… more