• Lost Time Claims Specialist…

    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
    UPMC (10/28/25)
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  • Accounts Resolution Specialist II

    Penn Medicine (Philadelphia, PA)
    …day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** Medicine Revenue Cycle **Location:** Penn Presbyterian ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor of… more
    Penn Medicine (12/04/25)
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  • Insurance Specialist II - Corporate…

    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
    Guthrie (11/19/25)
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  • Representative II , Accounts Receivable

    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
    Cardinal Health (11/20/25)
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  • Insurance Specialist I- Corporate Patient…

    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
    Guthrie (11/04/25)
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  • Insurance Specialist I - Corporate Patient…

    Guthrie (Towanda, PA)
    …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II … more
    Guthrie (11/27/25)
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  • Patient Access Specialist

    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
    Globus Medical, Inc. (10/02/25)
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  • Coding Auditor Educator, Inpatient

    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
    Highmark Health (10/23/25)
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