- Trustmark (Harrisburg, PA)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Deloitte (Philadelphia, PA)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- UPMC (Pittsburgh, PA)
- …position will provide some work from home flexibility, after completion of training . **Position Specifics:** The Sr . Authorization Specialist also functions as ... **University of Pittsburgh Physicians is hiring a full-Time Sr . Authorization Specialist to help support their UPMC...Medicine + Set the standards for the level and quality of care for the care delivery team +… more
- UPMC (Williamsport, PA)
- …hospital of all monies owed by both insurers and patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; ... **Job Summary:** The Account Representative, Senior is responsible for all fiscal functions necessary...to serve as a key mentor to staff for training and procedural direction. **Responsibilities:** + Perform duties and… more
- Intermountain Health (Harrisburg, PA)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- Highmark Health (Harrisburg, PA)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- The Hartford (Penn, PA)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- CenterWell (Harrisburg, PA)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Travelers Insurance Company (Wyomissing, PA)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... complexity and location of the role; the skills, education, training , credentials and experience of the candidate; and other...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and… more