- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist II to join the Workers Comp Claims team. This role follows a standard Monday ... locally in the Pittsburgh area. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 2 reports to the Workers' Compensation Supervisor.… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II ! This role will predominantly work remotely, Monday - Friday daylight hours. The ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to...effectively and efficiently manage loss exposures. Responsibilities: + Assign medical or other experts to case and arrange for… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Cardinal Health (Harrisburg, PA)
- …and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Guthrie (Sayre, PA)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... a fast-paced healthcare environment. Why Choose Guthrie? + Comprehensive Medical and Dental Insurance - effective the 1st of...submission issues. + Works closely with a Denial Resolution Specialist or Billing Specialist II … more
- Globus Medical, Inc. (Collegeville, PA)
- …detailed claims review, and hotline support. The Patient Access Specialist will be responsible for providing payer coverage expertise and support regarding ... At Globus Medical , we move with a sense of urgency...and limb pain and painful diabetic neuropathy. Senza(R), Senza II (R), Senza Omnia (TM) , and Senza HFX iQ… 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, ... billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more