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Claims Jobs in Philadelphia

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Search Results - Claims Jobs in Philadelphia
Insurance Relief-Philadelphia
Claims Manager - Remote - California Must work PST hours Are you a dedicated claims professional looking to find a growth opportunity? A top insurance agency in the Bay Area wants to add a Claims Manager to its growing team! In this role, you...
mindmatch.ai -
CIGNA-Philadelphia
The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a fee-for-service (FFS) basis. They will manage a small team of direct reports...
IntePros-Philadelphia
Job Title: Senior Client Setup Quality Analyst Join our team as a Senior Client Setup Quality Analyst and make a significant impact by ensuring accuracy and compliance in client benefit setup and claims auditing. This is an exciting opportunity...
mindmatch.ai -
Pozent-Philadelphia
High School Diploma or equivalency required. Associate Degree preferred. One (1) year of prior claims experience preferred. Knowledge of medical terminology preferred. Knowledge of medical billing/CPT and ICD 9 coding or related experience required...
jobvertise.com -
Insight Global-Philadelphia
Thank you so much for your interest! This is a hybrid role local to Philly, you will be required onsite Tues-Thurs each week with Mon/Fri remote. OUR CLIENT IS ABLE TO PROVIDE SPONORSHIP!! Job Title: Lead Epic Claims Analyst Location: Philadelphia...
mindmatch.ai -
Guidehealth-Philadelphia
excellent customer service Answering client and provider questions including, but not limited to claims payment, status and coverage information Interpreting client health plan protocol Backup to the claims processing area by assisting with reports...
resume-library.com -
Soliant-Philadelphia
that patients medication orders are processed efficiently while assisting with benefit eligibility and claims adjudication. Location : Philadelphia, PA Start Date : December 2, 2024 Duration : 13-week assignment Shift : Day shift (Start time: 8:00 AM or 9:00 AM...
TalentBurst, Inc.-Philadelphia
the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements. The purpose of the Ambulatory Regulatory Technician is to help drive overall fiscal and regulatory performance and manage the daily...
resume-library.com -
TalentBurst, Inc-Philadelphia
and suburban locations. In addition to data compilation for fax or electronic audit, the auditing technician will support the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements. The purpose...
Pyramid Consulting, Inc-Philadelphia
Handle claims production tasks such as written inquiries and reconsiderations and related adjustments to attain FEP Performance metrics. Ability to assess FEP procedures and regulations and required controls and incorporating what is required...
resume-library.com -
Ward Trucking LLC-Philadelphia
JOB TITLE: Local Driver - Class A REPORTS TO: Service Center Manager OVERVIEW OF ROLE: To ensure the customer is always serviced first by providing efficient and safe, claim-free pickup and delivery service. Develop and maintain good customer relations...
Soliant-Philadelphia
with health plans and PBMs. Key Responsibilities: Process, prepare, and dispense prescriptions accurately, including claims adjudication with third-party insurers and comprehensive documentation. Conduct drug utilization reviews, monitoring patient profiles...
TAG TRANS INC-Philadelphia
oversight (driver qualifications, files, drug testing), assist and handle potential Claims, and much more). Call us at 630-338-0112 ext. 4 to learn more. Or Apply online at https://intelliapp.driverapponline.com/c/tagtrans?r=indeed&uri_b...
Soliant-Philadelphia
prepare, and dispense prescriptions with accuracy, including adjudicating claims to third-party insurance. Conduct drug utilization reviews, ensuring medication appropriateness and monitoring for duplicate therapies, side effects, and drug interactions...
Munich Re-Philadelphia
underwriting and claims expertise and innovative approaches to complex and evolving risks.Munich Re Specialty North America is a description for the insurance business operations of affiliated companies in the Munich Re Group that share a common directive...
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