• Lost Time Claims…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan and WorkPartners is hiring a full- time Lost Time Claims Specialist I. This role will predominantly work remotely. The UPMC ... WorkPartners Workers Compensation Lost Time Claims Specialist I reports to the Workers Compensation Claims Supervisor. The Lost Time … more
    UPMC (07/22/25)
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  • Medical Only Claims Specialist II

    UPMC (Pittsburgh, PA)
    …independently. + Manage non-complex and non-problematic medical-only, restricted medical only, and limited lost time claims under some supervision. + Minor ... UPMC Health Plan and WorkPartners is hiring a full- time Medical Only Claims Specialist II. This role will predominantly work remotely. The UPMC WorkPartners… more
    UPMC (07/22/25)
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  • Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES...+ Monitors retro denials to ensure resolution within required time frames and logging of action eg no appeal,… more
    St. Luke's University Health Network (05/14/25)
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