168 Results for

Claims Specialist Jobs in Pennsylvania

Jobs

Allentown, PA14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.

Pittsburgh, PA19 days ago

This 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. Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.

New!

Hershey, PA5 days ago

Partner cross-functionally with R&D, Marketing, Legal, Quality, Supply Chain to deliver compliant ingredients, formulas, labels, claims, and certifications for Salty products . Support Regulatory Affairs activities for Salty Snacks brands, ensuring compliance with U.S. food regulations across the product lifecycle—from ideation through commercialization and post-launch .

New!

Philadelphia, PA1 day ago

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

Allentown, PA14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

Allentown, PA14 days ago

Remote

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

Sellersville, PA14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

Harrisburg, PA10 days ago

$22–$25 Per Hour

Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding. · Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding.

Allentown, PA14 days ago

Part-time

The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.

Bethlehem, PA14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.

Easton, Pa14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.

New!

Pittsburgh, PA6 days ago

$20–$20 Per Hour

This role ensures compliance with regulatory requirements, maintains inventory accuracy, and provides high-quality service to patients, providers, and internal teams. The Pharmacy Technician Fulfillment & Inventory Specialist supports the preparation, distribution, and accurate management of prescription medications and pharmacy inventory.

Allentown, PA14 days ago

Full-time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. At least 2 years of healthcare experience with background and competency in coding and documentation State and Federal regulatory requirements including Medicare, Medicaid and third-party payers as well as strong written/verbal communications skills preferred.

Pittsburgh, PA30+ days ago

They 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. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim.

Allentown, PA30+ days ago

From the initial claim submission to final resolution, you will oversee the entire claims process, ensuring proper documentation, maintaining tracking reports, and addressing customer inquiries. We are seeking a Damage Claims Specialist to manage and process customer property damage claims related to utility service operations.

Saxonburg, PA26 days ago

Brayman Construction Corporation in Saxonburg, PA is looking for a detail oriented and organized Safety Document Control, Claims Management & Paralegal Specialist to support the organization's safety, legal, and risk management functions by maintaining controlled safety documentation, administering workers' compensation and liability claims, and providing paralegal-level support for legal, regulatory, and compliance matters. We are a leading heavy civil and geotechnical contractor with office headquarters in suburban Pittsburgh, Pennsylvania, a satellite office in Wytheville, Virginia and various project field offices in the Mid-Atlantic and Northeast Regions.

Mechanicsburg, Pennsylvania7 days ago

Remote

New!

Philadelphia, PA6 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Mechanicsburg, PA30+ days ago

Remote

Full-time

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

Pittsburgh, Pennsylvania30+ days ago

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Gallagher's Claims and Risk Consulting team includes more than 100 safety and risk control professionals across the country with in-depth knowledge of current and emerging regulations, safety and health management, and operational exposures.

Mechanicsburg, Pennsylvania27 days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Conduct detailed audits of Workers’ Compensation and Liability claim payments with a strong fraud‑risk mindset and professional skepticism to identify, investigate, and escalate potential internal fraud, errors, and non-compliance with GB Best Practices.

New!

Pittsburgh, PA6 days ago

Positions under this announcement are being filled using a Direct Hire Authority (DHA)(SSA-001), open to all U.S. citizens. Current civil service employees would be given new appointments to the civil service.

Mechanicsburg, PA30+ days ago

Performs support and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor relationships and processes. Provides inbound and outbound phone support and customer service to all customers including policyholders, claimants, and agents, and handles all inquiries with customer service as a priority.

New!

Lancaster, PA6 days ago

$59,059.65–$90,000 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 17022 17034 17057 17113 17317 17356 17366 17368 17502 17512 17516 17538 17547 17550 17551 17552 17554 17582 17603. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

Philadelphia, PA30+ days ago

$60,000–$130,000 Per Year

About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators.

Philadelphia, PA8 days ago

$85,000–$92,000

Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Education/Experience: Bachelor’s degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience.

Philadelphia, PA8 days ago

$85,000–$90,000

This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution. The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams.

Philadelphia, PA30+ days ago

TAG MedStaffing is hiring a Medical Collections Specialist in Philadelphia, PA for our client, supporting insurance collections, claims follow-up, and revenue cycle operations within a physician practice environment. Skills & Attributes: Strong attention to detail, communication skills, and ability to multitask in a fast-paced environment are required.

Trevose, Pennsylvania30+ days ago

Alliance Cancer Specialists is seeking an experienced Medical Billing Specialist for our to join our Trevose Admin office responsible for the accurate and timely submission of medical claims, verification of charges and patient demographic information, and follow‑up with patients and third‑party payors. Prepare and submit insurance claims accurately and timely using required forms (e.g., HCFA 1500, Medicare, Medical Assistance, Blue Cross/Blue Shield, UMWA, and other third‑party payors).

Fort Washington, Pennsylvania30+ days ago

$50,000–$60,000 Per Year

This position will support Aon’s Affinity Insurance Services group in the AICPA Insurance Programs Department and will be based out of the Fort Washington, PA office with a Hybrid 4 days in the office schedule. Identify customer issues requiring new business processing, increase in coverage and/or transfer issues that require carrier or technology intervention.

City of WB, PA30+ days ago

If you thrive on accuracy, understand the full revenue cycle, and enjoy solving payment and claim challenges — this is your opportunity to step into a stable, high-demand role. We are hiring multiple Medical Billing Specialists and Healthcare Accounts Receivable Representatives to support a growing healthcare operation.

New!

Philadelphia, PA4 days ago

$40,000–$45,000 Per Year

We provide culturally sensitive health-related information, direct services, education, research, and technical assistance to reduce and eliminate HIV/AIDS as well as other health disparities, such as women's health and hunger, within the urban community of Philadelphia and vicinity. The Medical Billing Specialist is responsible for accurately processing and submitting medical billing for client services and clinical services, ensuring timely reimbursement and compliance with payer and regulatory requirements.

New!

Conshohocken, PENNSYLVANIAToday

The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. This role involves managing and ensuring compliance with various insurance processes within a prominent organization, focusing on non-life insurance operations, claims, and risk management activities.

Any, Pennsylvania11 days ago

Extensive knowledge of medical terminology, Current Procedural Terminology (CPT) coding, International Statistical Classification of Diseases and Related Health Problems (ICD) coding, Medicare Revenue Codes, UB-40 and Healthcare Common Procedure Coding System (HCPCS) in relation to mental health services is essential. Manage claims in an web-based billing and claiming environment with tasks including but not limited to accurately perform charge entry into clearinghouses and payer portals, confirming patient eligibility and plan coverage .

Pittsburgh, PA30+ days ago

This position is focused on task-level support for collections, including reviewing EOBs, submitting appeals, correcting billing errors, and contacting payers and patients. Embraces NADG’s values, culture, and “Core 3”: People First, Access to Care, and Cost Containment.• Supports the NADG Care Cycle and prioritizes delivering best-in-class patient care.•

Hanover, NJ18 days ago

Contractor

Job Title: Patient Support Specialist Duration: 3 Months ( Possible for Extension) Location: Whippany, NJ Shift Time: 11:30 AM - 8 PM Mon - Fri Job Description: "The Patient Support Specialist, under the direction of the Supervisor, is responsible for providing patient health care services enabling access to care for prescription medications. This 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 clients copay assistance programs.

New!

Conshohocken, PA1 day ago

This role involves managing and ensuring compliance with various insurance processes within a prominent organization, focusing on non-life insurance operations, claims, and risk management activities. To comply with civil rights laws, we invite applicants to voluntarily self-identify their race, ethnicity, gender, and veteran status.

Radnor, PA17 days ago

NYSE: ESNT) is a Bermuda-based holding company (collectively with its subsidiaries, "Essent") which serves the housing finance industry by offering private mortgage insurance, reinsurance, risk management products and title insurance and settlement services to mortgage lenders, borrowers, and investors to support homeownership. Real Estate Owned Management (REO) – assist with assigning properties to an approved vendor, obtaining insurance, recording deeds, the marketing of properties and the coordination of the sale/closing with the Legal and Finance teams.

Philadelphia, PA30+ days ago

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. We realize the strength of teamwork and its ability to join individuals together and push and pull each other, with a synergy that can only be found in groups of good people sharing ideas.

Mechanicsburg, Pennsylvania27 days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. This role is responsible for ensuring escalations are accurately tracked, documentation is complete, deadlines are monitored, and follow‑ups are executed consistently.

Johnstown, PA19 days ago

The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities.

Souderton, Pennsylvania30+ days ago

Univest Financial Corporation is seeking a detail-oriented Mortgage Servicing Specialist I to support key mortgage servicing functions, including loan boarding, escrow setup and maintenance, PMI processing, and timely resolution of internal and external customer requests. This is a hybrid position based at Harbor Place in Souderton, PA, offering the opportunity to collaborate with a knowledgeable team while helping ensure accurate, compliant servicing and exceptional customer experiences.

Philadelphia, PA22 days ago

Exercising good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. This position will work out of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention.

Philadelphia, PA30+ days ago

Conshohocken, Pennsylvania30+ days ago

This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party. Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.

Pennsylvania30+ days ago

$50,000–$55,000 Per Year

Responsibilities: The Medicaid Revenue Cycle Specialist plays a critical role in meeting business goals by managing claims/bills production according to payer and regulatory requirements to assure correct remittance payment at first pass. The Specialist works closely with nursing center staff to ensure accurate records are kept.*Audit the accuracy of demographic information in the Billing System to ensure clean billing and prompt payment.

Pittsburgh, Pennsylvania30+ days ago

$15.26–$19 Per Hour

This 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. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.

Camp Hill, Pennsylvania30+ days ago

You’ll help manage Medicaid and private pay billing, monitor payments, resolve issues, and support reporting and audits, all while partnering with internal teams to keep our programs running smoothly for the people we serve. As an Accounting Specialist, you’ll support UCP Central PA’s mission by ensuring accurate billing, reliable financial processes, and strong revenue management.

Philadelphia, Pennsylvania21 days ago

$50,000–$55,000 Per Year

Lancaster, PA30+ days ago

Remote

$75,000–$95,000 Per Year

Reporting to the Senior Product Manager, Metal Interiors, the MetalWorks Solutions Specialist/Manager supports the company's interior metal category by serving as a knowledgeable resource for metal products, specifications, and project needs, managing quoting activities for key opportunities, and ensuring accurate project tracking in SFDC. The role partners closely with CSMs, ASMs, and crossfunctional teams to provide technical guidance, coordinate GTM support, and assist in resolving product or claims issues.

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Claims Specialist Jobs in Pennsylvania

Claims and Denial Coding Analyst St. Luke's Health Network, Inc.

Patient Support Specialist Careers Integrated Resources Inc

Regulatory Specialist / Food Science System One

Property Adjuster Specialist - Field USAA

Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist I St. Luke's Health Network, Inc.

Medical Billing Specialist A-Line Staffing Solutions LLC

Coding Appeals Specialist St. Luke's Health Network, Inc.

Practice Prior Auth and Referral Specialist - Sleep Medicine St. Luke's Health Network, Inc.

Practice Prior Authorization and Referral Specialist - Radiation Oncology St. Luke's Health Network, Inc.

Registered Pharmacy Technician A-Line Staffing Solutions LLC

Provider Services Auditor St. Luke's Health Network, Inc.

Casualty Claims Specialist First Chicago Insurance Company (FCIC)

Damage Claims Specialist HTSS, Inc.

Safety Document Control, Claims Management & Paralegal Specialist Brayman Construction

Senior Commercial Construction Claims Specialist - NYLL Gallagher

laims Examiner MedMal Diedre Moire Corp.

Property Claims Specialist Erie Insurance

Senior Claims Specialist - Large Construction Gallagher

Claims Fraud and Payment Verification Specialist Gallagher

Field Office - Claims Specialist US Government Jobs

Claims Support Specialist Kaeppel Consulting

Claim Specialist - Property Field Inspection State Farm

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations Stout Risius Ross LLC

Workers Compensation Claims Examiner III TeemaGroup

Claims – Workers’ Compensation TEEMA Group

Medical Collections Specialist TAG MedStaffing

Billing Specialist Alliance Cancer Specialists

Insurance Benefits Specialist Aon Corporation

Medical Billing Specialist & Account Receivables OneSource Staffing Solutions

Medical Billing Specialist - Bebashi -Transition-to-Hope, Phila., PA Midatlantic Employers' Association

Insurance Specialist IDR

Revenue Cycle Specialist Elwyn

Ortho AR Specialist North American Dental Group

Patient Support Specialist Integrated Resources, Inc

Insurance Specialist IDR Inc

Loss Management Specialist Essent Guaranty, Inc.

Litigation Specialist First Chicago Insurance Company (FCIC)

Captive Experience Specialist Gallagher

Billing Specialist Nulton Diagnostic & Treatment Center

Mortgage Servicing Specialist I Univest Financial Corporation

Accounts Resolution Specialist I Penn Medicine

Accounts Resolution Specialist I - Ophth Clinical Support SEI Penn Medicine

Reimbursement Specialist MPOWERHealth

Revenue Cycle Medicaid Specialist Fltr Pennsylvania

Patient Support Specialist ConnectiveRx

Accounting Specialist UCP Central PA

Revenue Cycle Medicaid Specialist Fltr Philadelphia PA

MetalWorks Solutions Specialist or Manager Job Armstrong World Industries - Corporate

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