Customer Service Representative # 26-11811 US Tech Solutions, Inc.Customer Service Representative # 26-11811Pittsburgh, PA$18.50–$19 / hourThis individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. 8:30am-5pm Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
Psychologist - (Part-time) - Pittsburgh, PA Commonwealth Medical ServicesPsychologist - (Part-time) - Pittsburgh, PAPittsburgh, PAWhether you are an experienced psychologist seeking a more flexible role or looking to transition into a lower-stress practice setting, this opportunity offers the ability to continue making a meaningful impact while maintaining work-life balance. Step away from the demands of traditional clinical practice and enjoy a structured, low-stress environment with 1099 compensation , work-life balance, and built-in support.
Insurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area) CQ PartnersInsurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area)Pittsburgh, PennsylvaniaRemote$18–$20In addition, this position will serve as the primary backup to the Billing Coordinator, assisting with billing and accounts receivable functions as needed during vacations, absences, or increased workload periods. This position plays a critical role in ensuring patients have accurate insurance benefits verified prior to treatment, and that required authorizations are obtained in a timely manner.
Senior Resolution Manager GallagherSenior Resolution ManagerPittsburgh, PennsylvaniaRemoteFull timeAbout you : As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
NewCall Center Representative (Temporary) Ascensus LLCCall Center Representative (Temporary)Pittsburgh, PARemoteService center teams are accountable for servicing Flexible Spending Accounts (FSA), 529 Educational Savings accounts, Qualified Plan Retirement accounts and State Sponsored Retirement Program accounts. Ascensus is the leading independent technology and service platform powering savings plans across America, providing products and expertise that help nearly 16 million people save for a better today and tomorrow.
Lead Investigator Highmark IncLead InvestigatorPittsburgh, PAThe incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. This job is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse.
NewPharmacy Benefits Specialist Oxford Solutions, IncPharmacy Benefits SpecialistPittsburgh, PA$20–$21 / hourIn this role, you will process pharmacy claims, research insurance coverage, and collaborate with internal teams to ensure patients receive timely and accurate support. Strong working knowledge of pharmacy benefit coordination, copay assistance programs, and insurance plan structures.
Dental Treatment Coordinator and Scheduler Iannessa Pediatric DentistryDental Treatment Coordinator and SchedulerMoon Township, PAResponsible for the day-to-day activities of the dental front office, including working the phones, maintenance of the records of patients, treatment coordination, including surgery cases, patient management, scheduling of patients, assisting patients with the use of their insurance benefits, collecting payment for services, office correspondence, and recall. Benefits: Paid Time Off, Paid Holidays, Retirement Plan, Health Insurance, Vision Insurance, Daily Bonus Opportunities, End of Year Practice Bonus, Summer Break, and Holiday Break(Christmas through New Year's).
VP, Operations ConnectiveRxVP, OperationsPittsburgh, Pennsylvania$156,800–$245,400 / yearFull timeThis role ensures timely and accurate processing of patient and provider requests, oversees operations and call center teams across multiple locations across extended hours, and builds high-performing operational/service teams in a complex business environment. Responsibilities include day-to-day operational excellence, employee development, and continuous process improvement, as well as cross-functional collaboration with executive partners, clients, and internal/external business support teams.
Client Service Administrator - Group Benefits OswaldClient Service Administrator - Group BenefitsPittsburgh, PennsylvaniaCoordinates meetings with practice team members assigned to specific clients to review business activity and action points; schedules meetings with members of various internal departments such as Business Development, Marketing Analysis, Benefits Analytics, Health Management Services, and outside vendors to meet the service needs of the client. Job Summary : Responsible to provide internal support to an account management team for an assigned book of business; collaborates with sales and service staff by account, interfaces with clients and carriers, maintains records, and performs other general administrative duties.
Restoration Project Manager Paul Davis RestorationRestoration Project ManagerOakmont, PennsylvaniaDocumentation and Reporting: Organize and store all documents related to the restoration project, including building permits, work authorizations, and certificates of satisfaction, using appropriate software. The Project Manager oversees stakeholder relationships throughout the personal property claims process to restore properties back to pre-loss conditions following traumatic events such as storms, fire or flood.
Insurance Customer Service John Ryce - State Farm AgencyInsurance Customer ServiceWEXFORD, PAWe are currently seeking a dynamic individual to join our team as a Customer Retention/Billing Specialist - State Farm Agent Team Member. Prepare and process insurance forms, manage client files, and ensure all paperwork is accurately completed and filed.
Restoration Project Manager Paul Davis Restoration of Pittsburgh PARestoration Project ManagerOakmont, PA$75,000–$85,000 / yearFull timeDocumentation and Reporting: Organize and store all documents related to the restoration project, including building permits, work authorizations, and certificates of satisfaction, using appropriate software. The Project Manager oversees stakeholder relationships throughout the personal property claims process to restore properties back to pre-loss conditions following traumatic events such as storms, fire or flood.
Safety Specialist Armstrong GroupSafety SpecialistWarrendale, PennsylvaniaOur brands include Armstrong Utilities, Guardian Protection, Armstrong Development, 4Front Solutions, Twin Pops, and Armstrong Comfort Solutions. The Safety Specialist will develop and monitor safety and health programs, provide technical safety, ensure compliance with federal and state safety and health regulations for Guardian Protection.
NewEpic Denials Manager DeloitteEpic Denials ManagerPittsburgh, PARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Psychologist - (Part-time) - Wexford, PA Commonwealth Medical ServicesPsychologist - (Part-time) - Wexford, PAWexford, PennsylvaniaWhether you are an experienced psychologist seeking a more flexible role or looking to transition into a lower-stress practice setting, this opportunity offers the ability to continue making a meaningful impact while maintaining work-life balance. Step away from the demands of traditional clinical practice and enjoy a structured, low-stress environment with 1099 compensation , work-life balance, and built-in support.
Psychologist - (Part-Time) - Wexford, PA Commonwealth Medical ServicesPsychologist - (Part-Time) - Wexford, PAWexford, PA$600–$750 / yearConduct one-time psychological and behavioral health evaluations for Veterans as part of the disability claims process • Perform clinical interviews, mental health assessments, and comprehensive record reviews • Assess psychiatric and psychological conditions in support of Veteran disability evaluations • Work in a low-volume setting, typically seeing 1–5 Veterans per day • Complete documentation electronically through a secure platform • Receive fully provided technology, training, and clinical support. • No ongoing therapy or counseling sessions • No treatment planning or long-term patient management • No prescribing responsibilities • No disability rating calculations or benefits determinations • No scheduling responsibilities or walk-in patients • No nights, weekends, holidays, or on-call responsibilities.
Psychologist - (Part-Time) - Pittsburgh, PA Commonwealth Medical ServicesPsychologist - (Part-Time) - Pittsburgh, PAPittsburgh, PA$600–$750 / yearConduct one-time psychological and behavioral health evaluations for Veterans as part of the disability claims process • Perform clinical interviews, mental health assessments, and comprehensive record reviews • Assess psychiatric and psychological conditions in support of Veteran disability evaluations • Work in a low-volume setting, typically seeing 1–5 Veterans per day • Complete documentation electronically through a secure platform • Receive fully provided technology, training, and clinical support. • No ongoing therapy or counseling sessions • No treatment planning or long-term patient management • No prescribing responsibilities • No disability rating calculations or benefits determinations • No scheduling responsibilities or walk-in patients • No nights, weekends, holidays, or on-call responsibilities.
Treasury Manager Form EnergyTreasury ManagerWeirton, WVIn this dual-impact role, you will be responsible for managing day-to-day liquidity, processing vendor payments and adhoc manual requests, ensuring strict debt compliance, and safeguarding the company's assets by managing our comprehensive insurance portfolio. Payment Processing: Execute, review, and approve manual and automated payments utilizing Oracle ERP and various banking platforms, ensuring strict adherence to internal controls and fraud-prevention protocols.
NewPharmacy Clinical Review Specialist- Remote University of Pittsburgh Medical CenterPharmacy Clinical Review Specialist- RemotePittsburgh, PARemoteHS diploma and pharmacy claims, pharmacy tech, and/or other related experience in a physician practice, ancillary provider, or other relevant healthcare setting required. Responsibilities: Provide excellent internal and external customer service maintaining a second requests for information and customer complaint goal of zero.