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.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistPA$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
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.
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.
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.
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).