Sr. Claims Specialist Jobs in Pennsylvania

18 jobs

Your success is a train ride away. Amtrak connects businesses and communities across the country and we move America’s workforce toward the future. We employ more than 20,000 diverse, energetic professionals in a variety of career fields throughout the United States. The safety of our passengers, our employees, the public and our operating environment is our priority and the success of our railro...

Your success is a train ride away. Amtrak connects businesses and communities across the country and we move America’s workforce toward the future. We employ more than 20,000 diverse, energetic professionals in a variety of career fields throughout the United States. The safety of our passengers, our employees, the public and our operating environment is our priority and the success of our railro...

"Analyze and adjudicate complex hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of complex claims, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, workers compensation, or motor vehicle accidents. Assoc...

Job Description: This role will be directly responsible for the development of new products that conform to applicable law while supporting the business objectives of Old Republic Specialty Insurance Underwriters, Programs and Alternative Markets, in both admitted and non-admitted markets. Lines of business include: Commercial Auto, General Liability, Property, Inland Marine, Crime, Miscellaneous...

POSITION SUMMARY Follows standard operating procedures to edit, bill and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work. ESSENTIAL FUNCTIONS • Prepares and reviews claims to ensure billing accuracy according to payor requirements, inclu...

The AmeriHealth Caritas Team 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 bu...

GEP is a leading strategic sourcing and procurement solutions management consulting firm with corporate headquarters in Clark, NJ. We offer consulting and technology services that help reduce the costs and significantly improve profit margins of our clients, who include Fortune 500 companies in the US, Latin America and Europe. GEP offers a fast-paced, entrepreneurial work environment with unlimit...

Previous experience required RECRUITMENT REQUIREMENTS: High school graduate Proficient in Microsoft Office products Excellent Data Entry Skills Must have excellent organization and communication skills Ability to work with a minimum of supervision Minimum of 3 years billing experience Excellent Customer Relation Skills 5+ years Home Care/Hospice Business Office experience SUMMARY OF JOB: · Respon...

SUMMARY DESCRIPTION: The Senior Placement Specialist in the Willis Environmental Practice is responsible for a variety of activities including but not limited to: Placing/broking of new and renewal environmental insurance policies for clients in the Northeast and Atlantic regions. Supporting producers and client advocates selling and cross selling environmental insurance to prospects and existin...

Overview of the team IMS Real-World Evidence Solutions (RWES) and Health Economics & Outcomes Research (HEOR) is fast-growing and highly successful, focusing upon delivering tangible business results to our clients who are the decision-makers and business managers across the international pharmaceutical and healthcare industries. With direct access to the world’s most comprehensive information, ...

Schedule: Full-time Job ID: 150002OI Utilizes advanced knowledge to prepare and review claims to ensure billing accuracy. Requires complete understanding of the billing and collection processes and little supervision for routine work. Outstanding claims resolution actions to include regular phone contact with health plan and client customer service teams and expected to resolve claims directly wi...

Schedule: Full-time Job ID: 1500023A POSITION SUMMARY Follows standard operating procedures to edit, bill and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work. ESSENTIAL FUNCTIONS • Prepares and reviews claims to ensure billing accuracy ...

GEP is a leading strategic sourcing and procurement solutions management consulting firm with corporate headquarters in Clark, NJ. We offer consulting and technology services that help reduce the costs and significantly improve profit margins of our clients, who include Fortune 500 companies in the US, Latin America and Europe. GEP offers a fast-paced, entrepreneurial work environment with unlimit...

Systems Integration : Provide Technology Solution Development and Integration across the SDLC including requirements, functional specs, design, custom development, integration, testing, and deployment. Deloitte's SI Capability maintains a strong focus on structuring, managing, and implementing complex technical solutions requiring deep business expertise, process optimization, and business operati...

Systems Integration : Provide Technology Solution Development and Integration across the SDLC including requirements, functional specs, design, custom development, integration, testing, and deployment. Deloitte's SI Capability maintains a strong focus on structuring, managing, and implementing complex technical solutions requiring deep business expertise, process optimization, and business operati...

JOB SUMMARY: Join us for an exciting career at VA Pittsburgh Healthcare System! The Pittsburgh Post-Gazette has recently ranked VA Pittsburgh Healthcare System among the top 50 businesses to work for in western Pennsylvania. VA employees more than 14,000 physicians across its nationwide integrated health care system. Every year, many experienced physicians leave private practice to come to the V...

JOB SUMMARY: This is an Air Reserve Technician (ART) Officer position. Air Reserve Technicians are part of the regular civil service and enjoy all the benefits granted to Federal employees in the competitive civil service. In addition, ARTs are required to maintain active membership in an Air Force Reserve unit so long as they occupy ART positions. As members of reserve units, ARTs receive on ave...

JOB SUMMARY: This is an Air Reserve Technician (ART) Officer position. Air Reserve Technicians (ARTs) are part of the regular civil service and enjoy all the benefits granted to Federal employees in the competitive civil service. In addition, ARTs are required to maintain active membership in an Air Force Reserve unit so long as they occupy ART positions. As members of reserve units, ARTs receive...