Medical Claims Specialist Jobs in Pennsylvania
121 Pennsylvania Medical Claims Specialist jobs found on Monster.Jobs 1 to 20 of 121
Recruit GAAP Staffing Philadelphia, PA, 19196
A hiring employer with Recruit GAAP in the Health industry is seeking a full time Medical Claims Specialist. The company offers the following environment: Stable Company with growth potential. Estimated salary of $15 per Hour. The right candidate will have experience with, or the skills and abilities to: Typing, Customer service, Account resolution. Seeking someone who can successfully perform the...
General Description: Manage within company best practices lower-level non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional. Essential Job Duties: Essential Job Duties: 1.Receives claim, confirms policy coverage and acknowledgement of the claim 2.Determine validity ...
Step 7 Philadelphia, PA
Location -SYRACUSE, NY POSITION INFORMATION: Medical Claims Specialist (In an out-patient health care, medical/clinical setting). CPC / Certified Professional Coder certification is a plus but not required. SCHEDULE: Full-time, 40 hours work week, Monday through Friday (approximately) 8:30 am to 5:00 pm. QUALIFICATIONS: One year of minimum work experience as a Medical Claims Specialist is requi...
Allstate® Good Work. Good Life. Good Hands.® Voted one of the World’s Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Can you work independently? Manage your time efficiently? Are you looking to accelerate your career with a world-renowned company? Allstate Insurance Company has an exceptional career opportunity for a Claims Service Specialist in Pittsbur...
CareersUSA, a leader in the staffing industry with over 33 years of experience, has another job opportunity for you: Our client is seeking Account Specialists for Insurance / Medical in Bala Cynwyd, PA. Earn $16.50 per hour at these full-time, temp-to-hire positions. Work 40 hours per week. 1st and 2nd shifts are available for these positions. Shifts: 1st Shift: 9:00 AM to 6:00 PM 2nd Shift: ...
Basic Functions: As a Medical Management Claims Supervisor in the Pittsburgh Branch Office, you will supervise, train and monitor the activities of assigned medical management specialists and other claims personnel. Skills and Abilities: Excellent organizational skills. Strong interpersonal skills. Strong verbal and written communication skills. Strong analytical and problem-solving skills. ...
Erie Insurance Pittsburgh, PA, 15201
Basic Functions: As a Medical Management Claims Supervisor in the Pittsburgh Branch Office , you will supervise, train and monitor the activities of assigned medical management specialists and other claims personnel. Skills and Abilities: Excellent organizational skills. Strong interpersonal skills. Strong verbal and written communication skills. Strong analytical and problem-solving skills. Ab...
Company Confidential Plymouth Meeting, PA, 19462
Job Duties: Gather billing information by reviewing physician charges for completeness Ensure payments by verifying accuracy of encounter coding Consult with physicians to resolve any encounter, charges or coding discrepancies Post charges Submit claims Maintain high first rate pass claim acceptance rate Follow up on submitted claims Resolve unpaid/disputed claims Post remittances (electr...
*This position will be staffed in Harrisburg, PA and will support the Standard Bodily Injury Department. *Ideal candidate will possess prior liability claims knowledge and have extensive customer service experience. JOB SUMMARY: Investigates and effectively resolves bodily injury personal lines liability claims via telephone, internet or email. Promotes and provides "On Your Side" customer servi...
Nationwide Conshohocken, PA, 19428
*This position will be staffed in the Conshohocken, PA office and will support the bodily injury department, specifically litigation. Please note this position will move to Harleysville, PA with the transition of the entire department with the Harleysville team in the fall/winter. *Ideal candidate will possess prior claims handling experience in bodily injury, attorney negotiator, and property an...
This position will be work from home, with a company car, servicing Altoona, PA and surrounding territories. *Prior claims experience and a PA Auto Damage Appraiser's License highly preferred. *This position may be staffed at another level based on experience and/or qualifications. JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical...
General Description: Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim. Essential J...
*The Associate Claims Specialist, Casualty (Non Injury) handles non-injury claims with a high level of customer service. This position will be located in Harrisburg, PA. *4 year degree is preferred but not required. *Bilingual in Spanish or Cantonese/Mandarin is a plus! *Please note the starting salary for this position, without prior P/C claims experience is $40,000. JOB SUMMARY: Develops skil...
Nationwide Harrisburg, PA, 17101
*This Claims Specialist III / Lead, Workers Compensation will be staffed in our Harrisburg, PA office. JOB SUMMARY: Investigates, coordinates and processes the most complex medical and indemnity workers compensation claims involving multiple states to determine compensability, entitled benefits, average weekly wage and benefit rate, in accordance with applicable State Workers Compensation Statute...
Connolly Conshohocken, PA, 19428
Description Looking for a challenging and rewarding career with a company in the Healthcare Claims Industry with double digit growth year after year? If you are someone who thinks outside of the box; is analytical and loves problem/puzzle solving complex medical claims, look no further! Connolly Healthcare is the fastest growing recovery audit firm in the world with a long history of success. ...
LPN's Welcome to Apply! Position Objective: The Teleguard Medical Specialist (TGMS) reviews all telephonic and online intakes and obtains certification of disability and limitations from treating physicians via phone contact, to support the initial STD claim decision. The TGMS documents clear and concise details regarding certification dates, treatment plans as well as other pertinent claim info...
Medical Billing Specialist: Medical Claims Billing: Prepare all medical claims for billing and enter into SoftAid electronic billing software. Gathers appropriate documentation for claims submission. Works with SoftAid to resolve system errors. Re-Authorization: Communicate continued medical need of LifeVest system to obtain re-authorization for services. Documentation: Obtain necessary documen...
AMERIHEALTH CARITAS IS GROWING! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can build stron...
Basic Functions: As a Medical Management Specialist in the Pittsburgh Branch Office, you will within designated authority, handle medical management claims with limited supervision. Please note, there are two positions available, one reporting to Pamela Egley and the other reporting to Rebecca Gruber. Skills and Abilities: Strong customer service orientation. Ability to manage time effectivel...
Rotech Healthcare Inc. Mifflinburg, PA
Medical Billing Collections Specialist DME\Pharmacy Billing Job Description : Join the Leader in the Home Healthcare Industry! Let us be Your Road to Success Rotech Healthcare Inc. is seeking dedicatedCollection Specialistswho want to be part of a company who make a difference in patient’s lives. In this position you will be responsible for the collection of all Billing Center Accounts Receiva...
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Healthcare Career Tools
Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Pennsylvania
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Medical Claims Specialist/Examiner
Processes medical claims by reviewing and analyzing information; determining actions such as acceptance or denial.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Documents medical claims actions by completing forms, reports, logs, and records.
Determines covered medical insurance losses by studying and interpreting contracts and policies.
Popular Medical Claims Specialist Articles
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