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Medical Claims Specialist Jobs in Pennsylvania

Currently, there are no Medical Claims Specialist jobs available in Pennsylvania which match this search. You may wish to explore similar job titles on the Healthcare jobs in Pennsylvania page or view related jobs below.
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About Capgemini With more than 180,000 people in over 40 countries, Capgemini is a global leader in consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply ...
General Description: Manage within company standards and best practices complex and problematic high visability 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...
General Description: Manage within company standards and best practices complex and problematic high visability 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...
START DATE WILL BE 08/08 BACHELORS DEGREE IS STRONGLY PREFERRED These Appeal specialists will have multiple responsibilities and will be following standard operating procedures and scripts. They will be reviewing an appellants case file, researching the appeal and analyzing all data in the systems related to the appeal. After analyzing appeals, specialist will come to an information resolution o...
START DATE WILL BE 08/08 BACHELORS DEGREE IS STRONGLY PREFERRED These Appeal specialists will have multiple responsibilities and will be following standard operating procedures and scripts. They will be reviewing an appellants case file, researching the appeal and analyzing all data in the systems related to the appeal. After analyzing appeals, specialist will come to an information resolution o...
MultiPlan is looking for several Sr. Out of Network Medical Claims Resolution Specialist II to start on August 8, 2016 in our Newtown Square PA office. The position is full time and paid training will be provided. This position is responsible for using coding based knowledge for the negotiation and resolution of the highest dollar and specialty claims including retrospective, concurrent, and prosp...
Requisition #: 5208 Job Title: Senior Medical Claims Resolution Specialist II City: Newtown Square State: Pennsylvania Country: U.S. Employment Type: Full Time Salary Grade: N17 Description: MultiPlan is looking for several Sr. Out of Network Medical Claims Resolution Specialist II to start on August 8, 2016 in our Newtown Square PA office. The position is full time and paid training will b...
MultiPlan is looking for several Senior Out of Network Medical Claims Resolution Specialist I, to start on August 8, 2016 in our Newtown Square, PA office. The position is full time and paid training will be provided. The Senior Medical Claims Resolution Specialist I (Out of network) is responsible for negotiating certain type and dollar size of assigned claims/bills that are more complex on behal...
About Capgemini With more than 180,000 people in over 40 countries, Capgemini is a global leader in consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply ...
Medical Billing/AR Specialists & Cash Posting Specialist - DME We are growing! Immediate opportunities to join the team on the DME Medical Billing/Accts Receivable Specialists & Cash Application Specialists Team! High growth, national durable medical equipment company has several unique full time opportunities at its Exton, PA headquarters. ABC Medical, the exclusive medical supplier of the Nati...
Requisition Number 16-0009 Title Auditor, Medical Claims City Conshohocken State PA Description Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. As we continue to grow, we are seeking experienced Medical Claims Auditors to join our team. This is a great opportunity ...
There are multiple opportunities currently available for this exciting Claim Benefit Specialist role with Aetna. Please note that this is an in-office role in Pittsburgh, PA. POSITION SUMMARY The Claim Benefit Specialist position is a production based role servicing Medicare Advantage Beneficiaries. Fundamental Components of the Claim Benefit Specialist position include, but are not limited to: ...
CareersUSA, a leader in the staffing industry with over 35 years of experience, has another job opportunity for you: Our client is seeking a Medical Billing Specialist in Reading, PA. Earn $12.00 to $14.00 per hour at this full-time, temp-to-hire position. Work 40 hours per week, 8:00 AM - 5:00 PM. Job Description: Making appropriate adjustments or corrections to patient accounts Processing a...
A-Line Staffing is looking for Multiple Medical Accounts Receivable OR Collections Specialist in Monroeville, PA. These positions will be Monday - Friday between 8:00 am - 5:30 pm. Looking for flexibility! These Positions will give you a great opportunity to work with a Big Time Pharmaceutical Company. I have listed a Job Description along with Requirements below for you to review. If you are inte...
Requisition #: 5385 Job Title: Claims Resolution Specialist II, Out of Network City: Newtown Square State: Pennsylvania Country: U.S. Employment Type: Full Time Salary Grade: N15 Description: JOB SUMMARY: This position is responsible for negotiating certain type and dollar size of assigned claims/bills with generally lower complexity on behalf of the payor to achieve maximum discount and s...
Description: Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! Commercial Insurance is actively searching for a Technical Claims Specialist I or II to join the Workers' Compensation team. This position is responsible for the investigation, evaluation, and disposition of Complex Workers' Compensation cases of high exposure and severity. The Technical Claims Specialist applie...
Overview: Manage the company?s claims relationship with assigned independent agents, as well as directly handle the field adjusting of commercial and personal multiline claims (property, general liability and auto liability) generated by an assigned group of agents.? Responsibilities include the completion of investigation, and the determination of coverage, liability, damages, subrogation, and s...
Description: Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! Commercial Insurance is actively searching for a Technical Claims Specialist I or II to join the Workers' Compensation team. This position is responsible for the investigation, evaluation, and disposition of Complex Workers' Compensation cases of high exposure and severity. The Technical Claims Specialist applie...
Description: Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. Under limited supervision and established practices, you will be responsible fo...
Description: Advance your career at Liberty Mutual - A Fortune 100 Company! As an Associate Claims Specialist you will develop the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive t...