Health Claims Jobs in Pennsylvania
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Search Results - Health Claims Jobs in Pennsylvania
Insight Global-Philadelphia
A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia. The role is hybrid - Monday and Friday WFH, Tuesday-Thursday in the office. This person will be responsible for Epic support and implementations.
They use...
mindmatch.ai -
HexaQuEST Global - Healthcare-Danville (PA)
satisfaction by providing the highest level of customer service in only one of the Primary Functions (enrollment, claims or phones). Actively participates in cross training, improving processes within the Customer Service team.
Job Duties:
Resolves...
resume-library.com -
IntePros-Philadelphia
We are seeking a detail-oriented and organized Insurance Claims Follow-Up Specialist to join our Philadelphia based Healthcare client. In this role, you will be responsible for reviewing complex system work queues, analyzing insurance contracts...
mindmatch.ai -
Veracity Software Inc-West Reading
System Medical Director, Occupational Health and Employee Health Services
West Reading, Pennsylvania
Reading Hospital is seeking a System Medical Director, Occupational Health and Employee Health Services. This provider will support the strategic...
resume-library.com -
US Tech Solutions-Philadelphia
Duration: 3+ months Temp to perm
Job Description:
Insurance Claims Follow Up - reviews more complex system work queues, insurance contracts, and other reports to identify third-party (insurance) accounts receivable balances and collect expected...
mindmatch.ai -
msysinc-Harrisburg
preferably with a health plan, a pharmacy, or health tech environment.
A working knowledge of healthcare operations to include: enrollment, claims, customer service and appeals.
Demonstrated project management experience.
Applied analytical skills.
Strong...
jobvertise.com -
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 -
CIGNA-Philadelphia
standards.Utilize internal data such as claims, negotiations and network composition/adequacy to develop a comprehensive network strategy. Coordinate with multiple matrix partners to develop and monitor the budget for new and existing providers as well as rate...
Enola (PA)
to determine why cases/claims are denied and complete an appeal.
• Utilize pre-existing criteria and other resources and clinical evidence to develop sound and well-supported appeal arguments.
• Prepare convincing appeal arguments, using pre-existing criteria...
icims.com -
Leidos-Trevose
Maternity, pre-separation/retirement and others
• Provide basic claims assistance such as providing information on the status of claims
• Collect and record other Health Information into applicable systems
• Assess the appropriate assistance level needed...
CDS-Pittsburgh
paced environment specializing in health benefit administration and client and customer service to fill a supervisory position in the accounting department.
The Fund Accountant provides supervision for a team of staff accountants and accounting clerks...
Guidehealth-Allentown
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 -
Brown & Brown Insurance-Conshohocken
membership to research and resolve claim and billing inquiries.
• Utilize understanding of health and benefit products educate employees on their plans and in claims advocacy with carrier partners.
• Process client requests for eligibility changes, including...
mindmatch.ai -
TalentLNX-West Mifflin
as the main point of contact for healthcare providers regarding reimbursement inquiries and claims processing.
• Conduct comprehensive reviews of reimbursement claims to identify any inaccuracies or discrepancies.
• Collaborate with internal teams to resolve...
workable.com -
QUAD, a SolomonEdwards Company-King of Prussia
The Entry Level Financial/Administrative Support Specialist will be responsible for providing excellent customer service to members, brokers, and providers. Reviewing claims for accuracy, updating contacts, responding to emails, and sending claims over...
mindmatch.ai -
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