Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistPittsburgh, PennsylvaniaSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Property Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968Pittsburgh, PAIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
Remote Claims Representative - 11717 Metro Public AdjustmentRemote Claims Representative - 11717Pittsburgh, PARemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.
Claims Representative - 533968 Metro Public AdjustmentClaims Representative - 533968Pittsburgh, PAIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
Surveillance Investigator Allied UniversalSurveillance InvestigatorPittsburgh, PennsylvaniaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Investigator Ethos Risk ServicesInvestigatorPittsburgh, PAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Customer Service Representative - State Farm Agent Team Member Brendan Garvey - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberAliquippa, PAFull timeBefore opening my own office, I worked as a team member in Baltimore, gaining hands-on experience helping customers and learning what it takes to run a successful agency. We’re looking for someone who brings energy, positivity, and a proactive attitude to the team — someone who loves connecting with others and thrives in an environment where hard work and good times go hand in hand.
NewCollision Estimator / Auto Body Estimator Diehl Collision of WashingtonCollision Estimator / Auto Body EstimatorWashington, PennsylvaniaCandidates searching Indeed for Collision Estimator jobs in Washington PA, Auto Body Estimator jobs near Canonsburg PA, Body Shop Estimator jobs in Washington County, Collision Repair jobs near Pittsburgh PA, Automotive Damage Appraiser jobs in Western Pennsylvania, CCC ONE Estimator jobs, Insurance Collision Estimator jobs, Auto Body jobs near Southpointe, Collision Center jobs near Washington PA, or Automotive Collision careers in Southwestern PA should consider this opportunity. Candidates from Washington, Canonsburg, Southpointe, McMurray, Peters Township, North Strabane, South Strabane, Houston, Eighty Four, Bentleyville, Claysville, Burgettstown, Bridgeville, Bethel Park, Upper St. Clair, and surrounding Pittsburgh-area communities are encouraged to apply.
Workers Compensation Claims Trainee - Mid-Atlantic GallagherWorkers Compensation Claims Trainee - Mid-AtlanticPittsburgh, PennsylvaniaRemoteFull timeThe INVEST Program Guardian Pathway is a 6-month paid , fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries . Stakeholder Communication: Engage in professional communication and strategy development with clients ; provide support and empathy to the i njured employees ; secure key details from medical providers and other key stakeholders to support collaborative , outcome-focused, and empathetic claims handling.
NewCasualty Claims Specialist First Chicago Insurance Company (FCIC)Casualty Claims SpecialistPittsburgh, PAFull timeThey will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. The Casualty Claims Specialist will have the following duties and responsibilities:Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistPittsburgh, PENNSYLVANIARemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Customer Service Representative - State Farm Agent Team Member Steve Metzler - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberPittsburgh, PAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Steve Metzler - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Account Associate - State Farm Agent Team Member Paul Lukitsch - State Farm AgentAccount Associate - State Farm Agent Team MemberPittsburgh, PAFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Paul Lukitsch - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Pittsburgh, PA and help customers with their insurance and financial services needs, including: Auto insurance.
Account Associate - State Farm Agent Team Member Brendan Garvey - State Farm AgentAccount Associate - State Farm Agent Team MemberAliquippa, PAFull timeYou grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Account Associate - State Farm Agent Team Member Jeff Berthney - State Farm AgentAccount Associate - State Farm Agent Team MemberMonroeville, PAFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Jeff Berthney - State Farm Agent, you are vital to our daily business operations and customers’ success. Before becoming an agent with State Farm, I worked as a team member for an agency, where I developed a passion for helping customers and building long-term relationships.
Customer Service Representative - State Farm Agent Team Member Jeff Berthney - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMonroeville, PAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Jeff Berthney - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Before becoming an agent with State Farm, I worked as a team member for an agency, where I developed a passion for helping customers and building long-term relationships.
Customer Service Representative - State Farm Agent Team Member Paul Lukitsch - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberPittsburgh, PAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Paul Lukitsch - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Kim Springer - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberVerona, PAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Kim Springer - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Patient Account & Billing Manager University of PittsburghPatient Account & Billing ManagerPittsburgh, PAIn addition to being a great place to work the University offers robust benefits including: 11 Paid Holidays in addition to paid Vacation, Sick and Personal Days Additional Paid Time Off (Winter Recess) during the period between Christmas and the New Year Paid Parental Leave Education benefits for eligible employees, their dependents and spouse/domestic partner Above-average Employer Contribution towards Medical, Prescription Drug, Vision, Life, STD, and LTD Insurance plans A robust retirement savings plan option, including 100% match on employee contributions of 3-8% (150% after vesting) and enhanced match for those nearing retirement * Free PAT bus pass. This position will be responsible for, but not limited to, the following functions: liaison between the faculty practice and 3rd-party billing agency, ensure accurate claims processing, assist in claim denials and follow ups, timely payment posting, effective resolution of billing and patient account issues, manage provider procedure entries, assist in researching/locating insurance EOBs and initiate and manage outbound calls to patients regarding outstanding balances.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantPittsburgh, PennsylvaniaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.