NewField Adjuster Supervisor Vanguard Claims AdministrationField Adjuster SupervisorWoodbury, New JerseyThis role also includes responsibility for maintaining SOC 2 compliance by safeguarding sensitive claimant, policyholder, and company information, ensuring confidentiality, integrity, and proper handling of data throughout all claims and supervisory activities. Promptly report any potential compliance, security, or data handling issues, and ensure the team follows proper protocols for secure claims processing and documentation.
Collection Specialist Dynavox Group ABCollection SpecialistPAThe Collection Specialist supports the effective management of the revenue cycle process and ensures the accurate and timely collection of sales to third party payers (including Medicare, Medicaid, Private Insurance, and other funding sources). Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings.
PFS/SBO Manager FutureSoft ConsultingPFS/SBO ManagerDelaware City, DelawareAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Pfs/Sbo Manager FutureSoft Consulting IncPfs/Sbo ManagerDelaware City, DEAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Network Contract Manager / Dental Recruiter - East Region - Remote UnitedHealth Group Inc.Network Contract Manager / Dental Recruiter - East Region - RemotePhiladelphia, PARemote$72,800–$130,000 / yearThe Dental Network Contractor develops the provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Responsibilities also include establishing and maintaining solid business relationships with the providers in the network and ensuring the network composition includes an appropriate distribution of provider specialties.
Scheduler/Biller: Tamaqua, PA Temple UniversityScheduler/Biller: Tamaqua, PAPhiladelphia, Pennsylvania$23.74 / hourResponsibilities will include greeting and screening visitors, answering telephones, returning voicemails, screening calls, taking and relaying messages, using the computerized Clinical Management System to assist with scheduling appointments for patients, coordinating schedules for all faculty that work in the practice and with other departments in the school, and following up with patients to update them on insurance company pre-authorizations. Our renowned faculty and staff provide students with a wealth of opportunities and resources, including smart classrooms, digital dentistry labs, clinics and a preclinical lab that emphasizes collaboration.
Scheduler/Biller Temple UniversityScheduler/BillerPhiladelphia, Pennsylvania$24.45 / hourResponsibilities will include greeting and screening visitors, answering telephones, returning voicemails, screening calls, taking and relaying messages, using the computerized Clinical Management System (Axium) to assist with scheduling appointments for patients, coordinating schedulers for all faculty that work in the practice and with other departments in the school, and following up with patients to update them on insurance company pre-authorizations. Our renowned faculty and staff provide students with a wealth of opportunities and resources, including smart classrooms, digital dentistry labs, clinics and a preclinical lab that emphasizes collaboration.
Project Manager Vital Care Infusion ServicesProject ManagerPhiladelphia, PennsylvaniaIncome protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. Maintain current awareness of key industry information and act as a technical guide to team members, providing insights, vision, and resources to ensure team growth and development in decision-making.
Manager- Single Billing Office Temple HealthManager- Single Billing OfficePhiladelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Cherry Hill, New JerseyAt Neuropath Healthcare Solutions, we provide comprehensive technology-driven healthcare solutions for healthcare organizations, including hospitals, long-term care, outpatient facilities, and residential treatment. The Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes.
Bilingual Call Center Representative Ascensus LLCBilingual Call Center RepresentativePhiladelphia, 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.
Loss Management Specialist - Mortgage Insurance Essent Guaranty, Inc.Loss Management Specialist - Mortgage InsuranceRadnor, PANYSE: 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.
Business Change Manager / Test Lead Elevance HealthBusiness Change Manager / Test LeadWilmington, DEPreferred Skills, Capabilities and Experiences: 5+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy benefit management (PBM) including benefit administration, enrollment and claims processing is preferred. The Business Change Manager / Test Lead responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals.
Remote Pharmacy Technician Actalent IncRemote Pharmacy TechnicianPhiladelphia, PARemote$20–$24 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. Job Description: As a Remote Pharmacy Technician, you will play a crucial role in managing coverage determination requests and ensuring efficient communication between providers, members, and the pharmacy benefit management (PBM) system.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesPA$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Senior Manager, HR Operations & Shared Services Five Below, Inc.Senior Manager, HR Operations & Shared ServicesPhiladelphia, PAAt Five Below our growth is a result of the people who embrace our purpose: We know life is way better when you are free to Let Go & Have Fun in an amazing experience, filled with unlimited possibilities, priced so low, you can always say yes to the newest, coolest stuff! Establish clear vendor performance expectations, SLAs, and KPIs (e.g., turnaround time, accuracy, compliance adherence, customer satisfaction), and ensure vendor outcomes are directly aligned to internal HR service delivery metrics.
Sr. Manager, HR Service Delivery & Compliance Five Below IncSr. Manager, HR Service Delivery & CompliancePhiladelphia, PAAt Five Below our growth is a result of the people who embrace our purpose: We know life is way better when you are free to Let Go & Have Fun in an amazing experience, filled with unlimited possibilities, priced so low, you can always say yes to the newest, coolest stuff! Establish clear vendor performance expectations, SLAs, and KPIs (e.g., turnaround time, accuracy, compliance adherence, customer satisfaction), and ensure vendor outcomes are directly aligned to internal HR service delivery metrics.
Supv Collections Blue Cross and Blue Shield AssociationSupv CollectionsPhiladelphia, PAWorking collaboratively with Claims, Finance, Cash Application, Provider Customer Service, Compliance, and Technology teams, the Supervisor identifies operational challenges, supports process improvements, analyzes recovery trends, and helps implement solutions that improve efficiency, accuracy, and customer experience. Through strong team leadership, data-driven decision making, and a focus on continuous improvement, this role contributes to reducing aging receivables, strengthening financial controls, improving payment allocation accuracy, and enhancing recovery outcomes for providers, customers, and members.
Reimbursement Specialist - Healthcare PhilipsReimbursement Specialist - HealthcareMalvern, PA$26–$41 / hourYou're the right fit if: You've acquired 2+ years of experience in Accounts Receivable Management, Reimbursement, Collections, or Denial Management, with hands-on experience resolving denied and rejected insurance claims and working directly with payers. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
Reimbursement Specialist (Healthcare) PhilipsReimbursement Specialist (Healthcare)Malvern, PA$26–$41 / hourYou're the right fit if: You've acquired 2+ years of experience in Accounts Receivable Management, Reimbursement, Collections, or Denial Management, with hands-on experience resolving denied and rejected insurance claims and working directly with payers. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.