Jobs near Harrisburg: 2,334
RS
Relevance Score ranked on: CLAIMS
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Claims Examiner
Harrisburg
And Qualifications Duties and Responsibilities:Codes and enters imaged claims and triages adjustments, submitted by members, providers and vendors. Reviews and corrects on-line edit errors by interpreting generated warning messages. Uses appropriate systems to research and accurately process claims. ...
Search Terms: Claims, Examiner, Processing, Insurance, Healthcare
89.3
0mi
Updated: June 26
![All logos, trademarks, service marks are the property of their respective holder. logo](https://jobabstracts.com/Shared/Images/Logos/Ids/C97112105116971086610811710167114111115115.png)
Claims Examiner
Harrisburg
And Qualifications Duties and Responsibilities:Codes and enters imaged claims and triages adjustments, submitted by members, providers and vendors. Reviews and corrects on-line edit errors by interpreting generated warning messages. Uses appropriate systems to research and accurately process claims. ...
Search Terms: Claims, Examiner, Processing, Insurance, Healthcare
88.1
0mi
Updated: June 07
![All logos, trademarks, service marks are the property of their respective holder. logo](https://jobabstracts.com/Shared/Images/Logos/Ids/E11410510173110115117114971109910171114111117112.png)
Claims Facilitator
Mechanicsburg
Under minimal supervision, settles claims within limits of authority. This position will report to either the Allentown or Harrisburg Branch office Monday - Friday working 8:00 am - 4:30 pm. Duties and Responsibilities Processes first party automobile, third party clear liability automobile and low s...
Search Terms: Claims, Facilitator, Insurance
83.3
11mi
Updated: June 27
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Inside Property Adjuster
Mechanicsburg
Exercises independent discretion or judgment in telephonically handling property claims within designated level of authority. Duties and Responsibilities Contacts Policyholders regarding property claims within level of authority. Conducts investigations, interviews insureds and witnesses, inspects da...
Search Terms: Property Adjuster, Adjuster, Property, Insurance, Claims
60.8
11mi
Updated: June 18
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Manager Provider Network Analytics
Harrisburg
And Qualifications Recruit, prepare, educate, train and support staff in the preparation of the data analysis for provider network cost of care activities encompassing Capital's total book of business and subpopulations at the various defined market segment, regional, and provider specific levels to ...
Search Terms: Manager, Network, Analytics, Leadership, Operations
0
0mi
Updated: July 06
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Clinical Team Lead - Preauthorization
Harrisburg
And Qualifications Acts as preceptor and mentor to the staff by providing regular feedback regarding their performance, through evaluation and counseling following Capital BlueCross Human Resource procedures. Acts as liaison with key personnel within the organization and with hospitals, ancillary pro...
Search Terms: Clinical, Team Lead, Behavioral Health, Authorization, Lead
0
0mi
Updated: July 06
![All logos, trademarks, service marks are the property of their respective holder. logo](https://jobabstracts.com/Shared/Images/Logos/Ids/C97112105116971086610811710167114111115115.png)
Medical Management Nurse II
Harrisburg
And Qualifications Responsible for maintaining unit service level goals. Determines medical necessity and appropriateness of the service requested or incurred by reviewing the member's Clinical information, utilizing established criteria to determine appropriate course of action. Determines when coll...
Search Terms: Management, Nurse, Medical, Medical Director, Clinical
0
0mi
Updated: July 04
![All logos, trademarks, service marks are the property of their respective holder. logo](https://jobabstracts.com/Shared/Images/Logos/Ids/C97112105116971086610811710167114111115115.png)
Actuarial Analyst
Harrisburg
And Qualifications Pricing Support: Provide support to senior level staff and management with regard to rate filings. Continue building a knowledge base for how rate filings are developed and submitted. Forecasting Support: Provide support to senior level staff and management with regard to completin...
Search Terms: Actuarial, Analyst, Support, Technology, Insurance
0
0mi
Updated: July 04
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Sales & Account Executive Small Market
Harrisburg
And Qualifications The Sales Executive is able to consistently move the sales process from pre-call planning to close while ensuring that all applicable prospect files and broker profiles are maintained and updated on a timely basis. Each producer is contacted on a regular basis and specific strategi...
Search Terms: Account Executive, Sales, Executive, Producer, Broker
0
0mi
Updated: July 03
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Patient Care Technician - Senior (Perianesthesia at UPMC Community Osteopathic)
Harrisburg
The Patient Care Technician Senior provides routine patient care and supports the department services in accordance with established policies and procedures, and as may be directed by the nurse or physician to assure that the highest degree of quality patient care can be maintained at all times. Comp...
Search Terms: Patient Care, Technician, Senior, Medical Technician, Anesthesia
0
1mi
Updated: July 06
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