Billing Specialist I in Monroeville - Hybrid - Monroeville, PA 15146 (Hybrid EOW)

The Billing Specialist I is responsible for third-party insurance billing and claim follow-up related to the dispensing of prescription medications. · ...

The role of the Billing Specialist involves ensuring timely submission of pharmacy benefit claims by communicating with various payers and insurance processors to resolve accounts receivable claims for reimbursement. · ...

+We are looking for a detail-oriented Accounts Payable Specialist to join our team in Pittsburgh, Pennsylvania. · +Process and verify invoices, ensuring accuracy in coding and account assignment. · + ...

+We are looking for a detail-oriented Accounts Payable Specialist to join our team in Pittsburgh. · +Process and verify invoices ensuring accuracy in coding and account assignment. · Manage payments through Automated Clearing House transactions and check runs. · ...

We are seeking a skilled Contract Specialist I to provide professional acquisition support services within the Department of Veterans Affairs (VA) Network Contracting Office 4 (NCO4). · Support full lifecycle acquisition processes in compliance with FAR, VAAR, and VA policies. · ...

We are looking for a Pharmacy Clinical Review Specialist to oversee administrative processes related to pharmacy prior authorizations. · The ideal candidate will have experience in pharmacy claims process operating systems · Excellent knowledge of medical terminology, coordinatio ...

This is a full time Compliance Specialist position working Monday through Friday daylight hours. The incumbent will work alongside UPMC's Compliance Officer and the Compliance Committee to ensure compliance with applicable federal, state and local laws. · The ideal candidate must ...

+This is a full time position working Monday through Friday daylight hours and will be a hybrid shift consisting of working from home and in office. · +Assist in the development of clear, effective and timely reports and updates for senior management and/or the Board regarding Co ...

The Reimbursement Specialist is an integral member of the reimbursement team responsible for timely initiation of authorizations with insurance carriers. · The representative will communicate medical need, educate case managers on LifeVest system to obtain authorization for servi ...

We are seeking a Medical Billing Specialist to join our team in Monroeville, PA for a hybrid role. · ...

As an Experienced Contract Management Specialist (Buyer) at BPMI, you will be responsible for working under limited supervision and perform moderately complex critical business functions to support company operations in areas including but not limited to performing the negotiatio ...

As a Contract Management Specialist at BPMI, you will be responsible for performing contract functions which provide for budgeting, negotiation, placement, administration, and close out of contracts in accordance with company policies, legal requirements, and Government specifica ...

As an Experienced Contract Management Specialist at BPMI, you will be responsible for performing contract functions which provide for budgeting, negotiation, placement, · administration, · and close out of contracts in accordance with company policies, · legal requirements, · and ...

As Product Stewardship Specialist, you will ensure compliance with the regulatory environment by working with multiple internal teams on cross functional projects and coordinating responses to internal and external customer inquires. · You will interact with all PPG business func ...

Billing specialist will be responsible for ensuring timely submission of pharmacy benefit claims. · ...

We are seeking a Sourcing Specialist to join our team. The role involves sourcing and procuring spare parts for industrial generators, developing relationships with suppliers, creating purchase orders, · Collaborate with maintenance and technical teams to understand technical spe ...

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. · Evaluates the needs of the member, the resources available, · & recommends and/or facilitates the plan for the best outcome · Assists wi ...

The Verification Specialist performs tasks that support the operations/order processing function of ProVerify · Process all aspects of a client order adhering to all federal regulations and corporate policy pertaining to standard operating procedures and turn-around times. · Hand ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

We are seeking a dedicated Program Manager / On-Call Supervisor to oversee programs serving individuals with intellectual and developmental disabilities. · ...