Claims Processor - Johnstown Senior LIFEClaims Processor - JohnstownJohnstown, PennsylvaniaFull timeSenior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.
Claims Processor Redeemer HealthClaims ProcessorPhiladelphia, PennsylvaniaFull timeResponsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.
Claims Processor Holy Redeemer Health System IncClaims ProcessorPhiladelphia, PAResponsible to reconcile daily import, acceptance and rejection reports and collaborates with Billing Manager on all issues causing claim delays and achieving the HRHS CBO clean claims targets established by Senior Leadership. The Corporate Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting and healing for all in need.
Electronic Material Processor II TE Connectivity plcElectronic Material Processor IIPA$37,100–$55,600 / yearAs a trusted innovation partner, our broad range of connectivity and sensor solutions enable the distribution of power, signal and data to advance next-generation transportation, energy networks, automated factories, data centers enabling artificial intelligence, and more. Collect, transport, and properly dispose of scrap and non‑production materials from production areas to designated warehouse or disposal locations, ensuring all handling follows safety and environmental guidelines.
Medical Content Analyst, Specialist (Pre-Pay Policy) Lyric.aiMedical Content Analyst, Specialist (Pre-Pay Policy)PennsylvaniaLyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Leads client-facing discussions, serving as subject matter expert explaining ClaimsXten edit logic, content sourcing, rationale and expected outcomes to organizations that utilize Lyric’s edits for pre-payment editing.
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.
Payment Integrity Analyst - Data Mining Lyric.aiPayment Integrity Analyst - Data MiningPennsylvaniaLyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. This role performs hands-on casework in a high-volume environment including outreach, documentation, and system updates, while applying analytical skills to interpret claims and eligibility data, identify trends, and recommends process improvements that improve accuracy for the data mining program.
Fraud Operations Manager Citizens Financial Group IncFraud Operations ManagerPittsburgh, PAThe ideal candidate brings deep expertise in Mastercard chargeback reason codes, network dispute lifecycle management, and vendor partnerships with organizations like Ethoca and Verifi. This role is responsible for leading chargeback processing, recovery operations, representment and pre-arbitration strategy, vendor relationships, network compliance, and settlement accuracy for both fraud and non-fraud claims.
Director of Carrier Capacity, Arrive Fresh Arrive Logistics LLCDirector of Carrier Capacity, Arrive FreshPAAs the Director of Carrier Capacity for Arrive Fresh, you will play a critical role in expanding our high-growth produce and floral division by building and scaling an elite cold-chain carrier network. We are seeking an entrepreneurial, high-energy leader who combines deep expertise in perishable freight with a proven track record of coaching and developing high-performing capacity teams.
Senior Quality Business Analyst Blue Cross and Blue Shield AssociationSenior Quality Business AnalystPhiladelphia, PAAssist with designing test plans and evaluate/ test new or modified processes and procedures to verify that the new programs or program changes are functioning as intended and conform to established policies. Support assigned projects, maintain appropriate documentation at a task level, monitor deadlines and budget allocations and service as a technical liaison when appropriate.
Quality Manager Ahlstrom Holding 3 OyQuality ManagerPAOur Filtration and Life Sciences, Food and Consumer Packaging, and Protective Materials segments, along with the Performance Materials Cluster, address global trends with safe and sustainable solutions. Requisition ID 5686 - Posted 06/15/2026 - Filtration and Life Sciences - Lab & Life Science BU - Mount Holly Springs Plant - Mount Holly Springs - Posting Country (1).
Pharmacy Technician, Intermediate - Night Shift (7 on/7 off University of Pittsburgh Medical CenterPharmacy Technician, Intermediate - Night Shift (7 on/7 offPittsburgh, PAADJUDICATION/BILLING: Consistently exhibit the following actions; submission of prescription information to correct insurance processor, troubleshoot and resolve rejected claims, reliably coordinate multiple benefit payers, including Medicare obtaining all necessary paperwork including assignment of benefit forms., PRIOR AUTHORIZATION PROCESSING: possess a high level of knowledge regarding insurance prior authorization process including communication with patient and health care providers, understanding of documentation needed from medical records and pharmacy benefit management websites, ability to complete needed paperwork and assist in the follow-up with the approval process.
Pharmacy Technician, Intermediate University of Pittsburgh Medical CenterPharmacy Technician, IntermediatePittsburgh, PAPurpose: The Pharmacy Technician, Intermediate provides pharmaceutical care to patients within the UPMC Health System by showing proficiency in essential technician functions like sterile and nonsterile medication preparation, packaging and labeling of medications, medication filling, and medication distribution. ,ADJUDICATION/BILLING: Consistently exhibit the following actions; submission of prescription information to correct insurance processor, troubleshoot and resolve rejected claims, reliably coordinate multiple benefit payers, including Medicare obtaining all necessary paperwork including assignment of benefit forms.,
NewQuality 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.
Category Manager - Manufacturing Procurement Arconic CorpCategory Manager - Manufacturing ProcurementLancaster, PAExcellent communication and partnership skills are essential as the role interfaces with a broad stakeholder base including operational teams, supply chain leaders, global process owners, Quality, customers, suppliers, etc. Bachelor's degree in Business, Management, Supply Chain, Logistics, Information Technology, Politics/Political Science, Policy, Finance, Accounting, Data Science/Analytics, Marketing/Communications, Economics, Mathematics, or Engineering from an accredited Institution.
Shipping & Receiving Coordinator The Food Source InternationalShipping & Receiving CoordinatorExton, PennsylvaniaMaintains database of shipment data to ensure that customer orders are updated and that appropriate billing documents are provided to accounting or other associated departments as required. Receives and records all documentation for all goods and verifies the accuracy of the count of all items unloaded; checks against suppliers’ count and immediately reports discrepancies to necessary parties.