- Humana (Harrisburg, PA)
- …resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and collection services ... a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that… more
- Travelers Insurance Company (Wyomissing, PA)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
- Elevance Health (Harrisburg, PA)
- **SCA Customer Care Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...- 4:15 PM (Local Time)** The **SCA Customer Care Representative I** is responsible for handling or responding to… more
- Cardinal Health (Harrisburg, PA)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- WellSpan Health (Chambersburg, PA)
- …revenue cycle tasks. Assists in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account ... and submits Hospital and/or Physician claim forms (UB04, 1500, etc) to insurance companies via electronic or manual processes and facilitates special billing for… more
- WellSpan Health (York, PA)
- …revenue cycle tasks. Assists in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account ... and submits Hospital and/or Physician claim forms (UB04, 1500, etc) to insurance companies via electronic or manual processes and facilitates special billing for… more
- Fresenius Medical Center (Harrisburg, PA)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
- Highmark Health (Harrisburg, PA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …with responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of ... understanding of dealing with and processing Florida Medicaid and Medicare ; + Possess a strong sense of patient advocacy,...experience; + Faculty member will commit to being a representative of LECOM by being actively involved in the… more