- Centene Corporation (Harrisburg, PA)
- …Serve as the claims payment expert for the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve ... claims issues. Act as the subject matter expert for other Claims Liaisons. + Analyze trends in claims processing issues and identify work process solutions +… more
- Penn Medicine (Philadelphia, PA)
- …you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote **Entity:** ... tasks. The main focus of the Practice Coding Specialist II is to oversee coding processes and serve as...and achievement. This role will also act as a liaison between coding personnel and other staff groups -… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Ward's Top 50 and rated A++ by AM Best. We are looking for a Underwriting Supervisor II to join our CORE Renewal team in any of our PHLY offices! Summary: Manages a ... initiatives in response to these issues. + Acts as liaison in solving processing and compliance issues involving other...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Highmark Health (Wexford, PA)
- …guidelines. (20%) + Resolves non-clinical issues independently and acts as a liaison between our customer and provider-facing teams and the Corporate Pharmacy ... for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment… more
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