Claims Processing jobs

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Collections Specialist
Accounting Principals - 214 reviews - Pittsburgh, PA 15219
Processing billing and performing accounts receivables. You will be responsible for patient billing, accounts receivables, denial & rejection claims,...
Staff Auditor
ATI - 87 reviews - Pittsburgh, PA 15222
Audits the Company's financial records, internal controls, compliance with regulations and Company policies, and third-party healthcare claims processing....
Reimbursement Specialist
RemX Specialty Staffing - 159 reviews - Pittsburgh, PA 15220
Research and re-bill unpaid claims. Participate in meetings with Payers, internal departments, Client contact(s) and BPS Management, etc. to address trends in...
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Claim Processor

Highmark Health - 92 reviews - Pittsburgh, PA 15222 (Strip District area)
May include initial entry claims or claims which have suspended. Reviews processed claims and inquiries to determine corrective action which can include...

Insurance Resolution Specialist

PANTHERx Specialty Pharmacy - Pittsburgh, PA
Minimum 2 years experience processing pharmacy claims. Verify patient pharmacy coverage & processing info. Ability to process pharmacy claims on the patient s...
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Claims Representative Associate

UnitedHealth Group - 10,352 reviews - Pittsburgh, PA 15289 (Central Business District area)
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims....

QA Analyst / Tester

Redbud Technologies Inc - Pittsburgh, PA
$48,000 a year
Familiar with HIPAA EDI x12 data processing, 5010 format, IC10….transactions most important are 835, 837, 276, 277, and payment processing....
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Claims Examiner

UPMC - 1,789 reviews - Pittsburgh, PA 15219 (Middle Hill area)
One year of claims processing and/or equivalent education preferred. At UPMC, we're exceeding production and quality of designated standards for claims...

Administrative/Payroll Clerk

Soffer Organization - Pittsburgh, PA 15203 (Southside Slopes area)
$15.50 an hour
Assist HR Manager/Controller with processing workmen’s compensation claims, scheduling required physician and PT appointments, and follow up as needed....
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Claims Facilitator

Erie Insurance - 122 reviews - Pittsburgh, PA
Claims, Liability, Insurance. Minimum of two years of prior claims clerical or processing experience, or equivalent, required....

Technical Claims Specialist

UPMC - 1,789 reviews - Pittsburgh, PA 15233 (Manchester area)
Two years claims processing experience required. Are you a health insurance claims professional with at least two years of claims processing experience?...

Analyst, Middle Office

BNY Mellon - 2,873 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Responsible for processing, monitoring, researching and analyzing transactions and resolving non-complex inquiries....

Appeals Analyst - Gateway Health Plan

Highmark Health - 92 reviews - Pittsburgh, PA 15222 (Strip District area)
Knowledge of claims processing methodologies. Knowledge of multiple processing systems and workflows. The Appeals Analyst reviews inquiries to determine if they...
Clinical Review Nurse
Florida Blue - 326 reviews - Pittsburgh, PA 15206
Experience using claims processing system (e.g., MCS/FISS), etc. O May process claims and complete project work in the appropriate computer system(s)....
Insurance Sales Professional
Allstate Insurance Company - Pittsburgh, PA
Processing payments, claims, and performing general customer service duties. Insurance Sales Professionals Needed for a Local Allstate Agency*....
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