- CVS Health (Harrisburg, PA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with… more
- Towne Park (Plymouth Meeting, PA)
- …the policy guidelines. Benefits: Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, hospital ... plan or program terms. **SUMMARY** The Transportation & Vehicle Safety Specialist will be responsible for Federal Motor Carrier Safety Administration (FMCSA)… more
- CDM Smith (Harrisburg, PA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- St. Luke's University Health Network (Allentown, PA)
- …pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …We invite you to apply today. SUMMARY OF JOB The Account Receivable Specialist is responsible for performing resolution-oriented claims submission and follow-up ... long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on… more
- US Tech Solutions (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- ARAMARK (Philadelphia, PA)
- **Job Description** The Global Risk and Insurance Specialist provides technical and analytical support on the procurement and management of Aramark?s global ... endorsements, etc Maintaining portfolio of insurance program summaries Support certain claims management functions, including but not limited to reviewing policies… more
- US Tech Solutions (Monroeville, PA)
- **Job Description:** Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work ... document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing… more
- Curtiss-Wright Corporation (Cheswick, PA)
- We are looking for a **Sr Buyer/Contract Specialist ** to join our Pittsburgh (Cheswick) location. **Your Responsibilities:** The ideal candidate will have deep ... part of supplier terms and conditions negotiations and purchase order claims /settlements. + Supports procurement activities, including: + Evaluates bids, selects and… more