Medical Claims Specialist Jobs in Pennsylvania
113 Pennsylvania Medical Claims Specialist jobs found on Monster.Jobs 1 to 20 of 113
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 ...
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, 2nd and 3rd shifts are available for these positions. Shifts: 1st Shift: 8:00 AM to 4:00 PM 2nd Sh...
Erie Insurance Group Pittsburgh, PA
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...
*The Associate Claims Specialist, Casualty (Medical) handles medical 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 skills and...
Associate Claims Specialist, Commercial Insurance-57012 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Have an investigative nature? Like to understand all the details and contributing factors before you make decisions? Like helping people resolve questions? Claims might just be right for you. If you join our claims team, Liberty Mutual Insurance starts yo...
Selective Insurance Group, Inc. Philadelphia, PA, 19107
Overview: Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requ...
This position will support the Personal Lines Casualty Bodily Injury Department in the Conshohocken, PA office. Please note this office will be physically moving to the Harleysville, PA office at the end of 2014. Prior casualty claims experience is highly preferred. This position may be staffed at another level, based on experience and/or qualifications. JOB SUMMARY: Investigates and effectivel...
Associate Claims Specialist, Commercial Insurance-55812 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Have an investigative nature? Like to understand all the details and contributing factors before you make decisions? Like helping people resolve questions? Claims might just be right for you. If you join our claims team, Liberty Mutual Insurance starts yo...
*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 Pittsburgh, Allegheny County, Western PA and possibly 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 resol...
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...
*This position will be staffed in the Harrisburg, PA Office, supporting the Titan Claims Non Injury Department. *Ideal candidate will possess extensive customer service experience. *This position may be staffed at another level, based on experience and/or qualifications. JOB SUMMARY: Develops skills and acquires knowledge necessary to investigate and resolve personal lines casualty claims via t...
Medical Billing Specialist Advanced Pain Medicine is undergoing exciting growth, and is in search of talented medical billing specialists to join our experienced team of medical professionals. Full time positions are available in a fast paced pain management practice located in Wexford, PA Responsibilities include: Following up on rejected claims Billing patients for deductibles and coinsuranc...
MEDICAL BILLING SPECIALIST Full-time position offered at Home Health/Hospice Agency for qualifi ed billing specialist Candidate must have knowledge of Medicare/Medicaid and private insurance claims experience as well as monitor receivables and collections Qualifi cations include: At least 2 years in health care data entry At least 1 year Billing experience (preferably in home health/hospice) Profi...
*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. ...
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...
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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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.
Protects operations by keeping claims information confidential.
Popular Medical Claims Specialist Articles
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