Sr. Technical Claim Manager/Attorney-D&O/Epl (Hybrid) RLI Corp.Sr. Technical Claim Manager/Attorney-D&O/Epl (Hybrid)Bala Cynwyd, PA$136,618–$199,120 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (Hybrid) RLI Corp.Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (Hybrid)Bala Cynwyd, PA$115,778–$168,746 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Proactively handle professional liability claims primarily involving miscellaneous professional liability (MPL) litigation, including Errors and Omissions (E&O), to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.
Senior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (hybrid) RLI CorpSenior Technical Claim Manager-Miscellaneous Professional Liability/Errors & Omissions (E&O) (hybrid)Bala Cynwyd, PA$115,778–$168,746 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Proactively handle professional liability claims primarily involving miscellaneous professional liability litigation, including Errors and Omissions/E&O and Architects & Engineers/A&E to achieve optimum payout results by resolving claims fairly, expeditiously, and economically.
Business Analyst AHA Judge GroupBusiness Analyst AHAPhiladelphia, PA$40–$45 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. • Communication Skills: Strong written and verbal communication skills for interacting with various stakeholders and resolving issues quickly.
Business Analyst AHA Blue Cross and Blue Shield AssociationBusiness Analyst AHAPhiladelphia, PAYou will work closely with other team members and cross functional teams such as configuration and Account Management to resolve discrepancies and improve claims processing experience for BlueCard members. Responsible for evaluating current business processes and developing, implementing, testing and maintaining Technology for more cost effective or quality improvement processing.
NewQuality Business Analyst Alpha Business SolutionsQuality Business AnalystPhiladelphia, PARemoteFamiliarity with FEPDirect, Aerial, PNC Echo, SDS/Quick Claims, OneHub/Pulse, HRP, Source, CareFirst Bridge applications is a plus. The FEP Claims Business Analyst supports FEP Claims Operations with Claims and inquiry inventory management by processing claims and inquiries.
Quality Business Analyst Blue Cross and Blue Shield AssociationQuality Business AnalystPhiladelphia, PAAlso responsible for: Audit operational transactions, including provider, member, and vendor communications, claims, appeals, grievances, enrollment, billing and client setup, to ensure accuracy and completeness. Through auditing, the analyst identifies areas for improvement, system inconsistencies, and training opportunities that enhance operational excellence and support the delivery of high-quality service to clients and members.
Data Entry Specialist Easy RecruiterData Entry SpecialistPhiladelphia, PennsylvaniaVerifies, enters, corrects group, member, and agent information into relevant applications, including adds, terminations, updates, member merges, new clients, new plans, agency mergers, agent of record changes, contract changes, renewals, and history. Maintains related departmental records, files, filing system and/or records retention systems (hardcopy, electronic, and imaged).
NewSupervisory Management and Program Analyst U.S. Department of Veterans AffairsSupervisory Management and Program AnalystPhiladelphia, PA$126,384–$164,301 / yearIdentifies and develops ways to resolve broad problems and cope with issues which directly impact accomplishment of principal VBA program goals that can impact internal and external stakeholders by initiating and leading projects and work groups that involve input and collaboration across the organization, federal agencies, Congressional and legislative liaisons. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Project Management: Applies principles, methods, or tools for developing, scheduling, coordinating, monitoring, evaluating, and managing projects and resources, including technical performance.
Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesPhiladelphia, PARemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Billing Specialist Philadelphia FightBilling SpecialistPhiladelphia, PA$21–$23.50 / hourFull timeConducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc. Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management.
Mgr, Business Consultant CVS Health CorpMgr, Business ConsultantPA$60,300–$132,600 / yearThe Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.
NewSenior Billing Representative Temple UniversitySenior Billing RepresentativePhiladelphia, PAPennsylvania-Philadelphia-Health Sciences Campus (HSC)-Kornberg School Of Dentistry'',''Pennsylvania-Philadelphia-Health Sciences Campus (HSC)-Kornberg School Of Dentistry'','''','''',''Staff'',''Staff'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''522632'',''522632'',''true'',''522632'',''false'',''Submission for the position: Senior Billing Representative - (Job Number: 26001806)'',''false'',''522632'',''false'',''true''. Incumbent is also responsible for all cashier duties including but not limited to accepting payments, posting payments to accounts, correctly navigating any payment type, and all cash and payment reconciliations for day activity.
Manager- Single Billing Office Temple University Health SystemManager- Single Billing OfficePhiladelphia, PA405578'',''true'',''405578'',''false'',''Submission for the position: Manager- Single Billing Office - (Job Number: 263569)'',''false'',''405578'',''false'',''true'',''Manager- Single Billing Office'',''263569'',''!*!Responsible for overseeing Customer Service and Self Pay collections. '',''Pennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Finance'',''Finance'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''405578'',''405578'',''true'',''405578'',''false'',''Submission for the position: Manager- Single Billing Office - (Job Number: 263569)'',''false'',''405578'',''false'',''true''.
PFS/SBO Manager FutureSoft Consulting IncPFS/SBO ManagerDelaware City, DEAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
EDI Specialist - 834 Spinnaker SearchEDI Specialist - 834Wayne, PARemoteYou will work directly with business teams, technical resources, clients, and external trading partners to ensure eligibility feeds are properly defined, mapped, tested, implemented, and supported in production. Experience working directly with external trading partners, clients, business teams, and technical resources to resolve EDI processing and implementation issues.
Mitigation Billing Specialist / Xactimate Billing Specialist ServproMitigation Billing Specialist / Xactimate Billing SpecialistBear, DelawareWe’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. Servpro Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of Servpro Industries, LLC or Servpro Franchisor, LLC (the Franchisor), in any manner whatsoever.
Accounts Receivable Specialist United Wound HealingAccounts Receivable Specialistyeadon, PARemote$24–$27.25 / hourClaims Knowledge:Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Soft Skills: Critical thinker with strong problem-solving skills; high attention to detail; excellent organization and time management; ability to prioritize and manage time-sensitive situations with urgency.
Program Manager EPAM Systems IncProgram ManagerPhiladelphia, PAThe ideal candidate is a master of managing interdependencies, an exceptional communicator capable of bridging the gap between business stakeholders and technology teams, and a strategic partner focused on driving business growth, executive alignment, and high-quality, profitable delivery. In this role, you will oversee a dynamic program consisting of 5 to 10 active projects spanning multiple product lines (e.g., Personal Lines, Commercial Lines, Specialty) and core platforms (e.g., Policy Administration, Billing, Claims, Digital Agent/Policyholder Portals).
Analyst, Kroll Settlement Administration Kroll, LLCAnalyst, Kroll Settlement AdministrationPhiladelphia, PARemote$22–$27 / hourAs a settlement administrator, we are responsible for notifying potential class members, reviewing and processing claim forms filed by individuals and entities, calculating losses, auditing claims to determine the extent of the damages incurred and processing and distributing funds to eligible class members under the court's direction. Kroll Settlement Administration, part of Kroll's Business Services division, is the leader in cutting-edge technology and consulting services for class action, mass tort, regulatory remediation and government claims administration.