Reviews and adjudicates claims in accordance with claim processing guidelines. Provides accurate and timely resolution in processing claims. Provides customers with prompt, efficient, high quality claim service. Job Duties Reviews and researches insurance claims to determine benefits and to maintain expected department turnaround time. Adjudicates claims within the requir

This role serves as the key link between the finance department and the Information Systems (IS) team, focusing on utilizing the Workday platform. Responsibilities include providing consultation, maintaining data integrity, configuring system changes, testing integrations and security, sharing knowledge, acting as an escalation point for issues, and ensuring system config

Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

The Middle Market Commercial Lines Master Field Underwriter represents the company among a defined territory of agencies, manages and services a profitable renewal book of Commercial Lines business utilizing the highest level of technical underwriting ability. The role conducts territory planning, performance analysis and agency management to maximize production, profit a

Data Entry Operator I Pittsburgh, PA Monday Friday 7 30AM 4 30PM Responsible for data entering all patient and specimen information into the laboratory information system. Verifies requisitions for completeness of patient and client information. Accurately enters all patient and specimen information into laboratory information system (patient name, location, site, etc.).

In a group setting or one on one, compares and contrasts dental plans in order to assist customers with determining the best plan to meet their needs. In some cases, may be required to guide customers into making a decision when Delta Dental is offered on a voluntary basis. Provides customers with printed plan information and answers any questions about the plans offered.

In a group setting or one on one, compares and contrasts dental plans in order to assist customers with determining the best plan to meet their needs. In some cases, may be required to guide customers into making a decision when Delta Dental is offered on a voluntary basis. Provides customers with printed plan information and answers any questions about the plans offered.

This individual is responsible for the assignment and support of work flow and training of the Intake department to ensure timely processing of new referrals (medical orders). This individual also performs and supports quality reviews and resolution of all front end tasks. Senior Intake Specialist works closely with Intake Supervisor and Manager of Intake. Essential Funct

Prepares client profiles for new clients and existing clients. Conducts periodic reviews of client profiles. Ensures due diligence when onboarding new clients. Researches and gathers information to prepare a basic report for a new client. Leverages online tools, independent research or collaborates directly with the relationship manager. Amends existing client profiles wh

Primary responsibilities include handling and processing claims requests. Attention to detail, accuracy and timeliness are requirements for this position. The candidate should have strong claims knowledge as well as a strong knowledge of the Claims adjudication application. Research, gather and analyze customer information via multiple channels to ensure customer satisfac

The Opportunity Under moderate supervision, primarily responsible for documenting inventory by recording additions, disbursements, adjustments, losses and removal of items. Prepares inventory reports by collecting and analyzing information on stock usage. Maintains inventory operations by following policies and procedures and reports changes as needed. In this role, you w

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect