Healthcare Payment Specialists Jobs in Pennsylvania

15,891 Job Information Deloitte SUR Specialist in Mechanicsburg Pennsylvania Are you an analytical, data-driven professional? Are you interested in a role that offers an opportunity to provide front line support to ..

We currently have an exciting career opportunity for a Customer Service Specialist I in our Fort Washington, PA office.  This position will support Aon’s Affinity Insurance Services group in the Healthcare ..

​PRIMARY LOCATION: Lancaster, Pennsylvania  RELOCATION OFFERED: No  EMPLOYMENT STATUS: Full-Time  TRAVEL: 5%  NON-COMPETE:No    WHY CONSIDER WORKING FORKANOPIBY ARMSTRONG?   Armstrong World Industries (AWI) is a leader in the design and manufacture of ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Research Specialist The candidate will conduct FDA and Healthcare regulatory research under attorney supervision. Research FDA Guidance’s (and 21 CFR) to assist in elucidate FDA’s standing on diverse regulatory or statutory ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Philadelphia Pennsylvania Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job Information Humana Senior Integration Specialist - Cloud in Pittsburgh Pennsylvania Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Pittsburgh Pennsylvania Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Reference #: R0283799 2476 Swedesford RdSTE 150,Malvern,Pennsylvania,19355-1456,United States of America What Will You Do? This position performs revenue cycle duties including but not limited to: processing patient insurance information through the ..

... requirements to assure correct remittance payment at first pass. *Collaborate with ... claims to be denied. Genesis HealthCare is a leading provider of ... is a leading provider of..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

We currently have an exciting career opportunity for a Customer Service Specialist I that is a remote opportunity.  This position will support Aon’s Affinity Insurance Services group in the Healthcare department.DUTIES ..

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

... distribution of checks for Genesis Healthcare and all managed centers and ... 8:30-5pm. RESPONSIBILITIES/ACCOUNTABILITIES:1. Print all Genesis Healthcare and managed facilities' checks.2. Seal ... Process all voids for Genesis..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..