- CDM Smith (Harrisburg, PA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Select Medical (Camp Hill, PA)
- …bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more **research-focused, ... **Overview** **_Select Medical - Summer Hiring Events_** **_June:_** _Tuesday, June...**Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience.… more
- Cardinal Health (Harrisburg, PA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Western Digital (Harrisburg, PA)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
- Banner Health (PA)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of an Insurance Billing Specialist II as well as identifies, analyzes and takes the necessary action to submit complex ... appeals to insurance payers. Reviews all medical chart and account documentation in order to determine appropriate coding and initiate corrected claims and… more
- PCI Pharma Services (Philadelphia, PA)
- …EHS committee meetings and ensure meetings are appropriately documented. + Assist EHS specialist on collected and tracked EHS data to identify trends, ensure actions ... with CAPA's. + Assist in management of workers compensation claims . Assist in the completion and/or review of incident...PCI's Ergonomics program. + Participate in and assist the Medical Emergency Response Team meetings and activities. + Assist… more
- NTT America, Inc. (Harrisburg, PA)
- …and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and preserved ... so that claims will be resolved in a timely manner as...+ Certified Safety Professional (CSP) or Certified Safety Management Specialist (CSMS) preferred. + Certified Environmental Professional CHMM and… more
- Highmark Health (Harrisburg, PA)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- UPMC (Pittsburgh, PA)
- …UPMC-wide auditing and monitoring to ensure that coding/documentation combinations and medical record documentation adequately support services coded and billed in ... and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit Training:**… more