Insurance Claims Workers Compensation Medical

Detailed Information

LISTED SITE
  • Location: Scranton, PA

including but not limited to employer, claimant, and medical providers. Develop and recommend claim strategies. Recommend care management strategies, coordinate rehabilitation or medical management, process bills, and monitors progress when appropriate.

Maintain files and continuing review and referral of submitted documents, evidence, records, and reports for sensibility and accuracy, including but not limited to compensability backssments and controversy reviews. Attend to possible fraud including coordinating with state and local authorities and appropriate third parties as warranted. Work with defense counsel on disputed claims. Regularly review files regarding medical treatment

status, return to work status, job search activity; settlement interest, and subsidy coordination of benefits. Provide general support to attorneys for hearing purposes, settlements, case appeals, and other claim actions.

Determine reserves and adjustments, ensure justification and report to all relevant parties. For authorized expenditures, implement payments and offsets. Communicate with Second Injury Funds, Funds for Reopened Cases, excess insurance carriers, third party liability settlements, etc. for appropriate and timely third party reimbursement. According to Melissa Obleada, the " Best Places to Work" lead with their mission, hire A+ people, invest in their employees,

practice what they preach about work and life balance, encourage employees to pursue their professional and personal passions, embrace visibility, transparancy and accountability, and set lofty goals and high expectations.

We believe you will find this a " Best Place to Work" High-growth position with major company in professional world. Included in your compensation package are full family health coverages (medical, dental, and vision), disability insurance, tuition reimbursement, company matched 401(k), life insurance, employee assistance program, flexible spending accounts, and much more. For complete details contact Greg Foss at: (609) 584-xyz X ext 270 Or submit resume online at: Or email to: Please reference #428181PA225 when responding.

Diedre Moire Corporation Diedre Moire Corporation, Inc. Diedremoire_dot_com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, interaction, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #Diedre Moire #Job Search #Job Hunt #Job Opening #Hiring #Job #Jobs #Careers #Employment #jobposting #Insurance Jobs #Claims Rep #Workers Comp DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.

Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise.

Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response.

Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word " remove" in the subject line to Or, visit the website at jobbankremove_dot_com.

If you have further concern regarding email received from us, call (609) 584-xyz X.

Insurance in Scranton, PA

POPULAR
Private duty nurse (lpn or rn)
1
Private duty nurse (lpn or rn)
Scranton, PA
Dec 23, 2023

was founded on the principle that health care gets better when clients get better care at home-the place they most want to be. Delivering care is our highest priority and greatest joy. How we prepare our Nurses for success : Paid training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Alaya Care We care for clients of all ages, diagnoses, and acuity levels.

We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. Additional Field Nurse Benefits Include: Medical, Dental, and Vision benefits Company-paid

life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Available Nursing Shifts: Morning, evening or overnight 8's, 10's, or 12's (full shift work) PRN, Part-Time, or Full-Time No weekend or minimum requirements Apply today to join our talent network!

Requirements: Current valid nursing license in the U. S. Graduation from a qualified nursing program MAR-EPA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory

basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.

Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_susquehanna-c445496/private-duty-nurse-lpn-or-rn-susquehanna_i1970107813

POPULAR
1:1 care nurse (lpn)
1
1:1 care nurse (lpn)
Scranton, PA
Dec 23, 2023

was founded on the principle that health care gets better when clients get better care at home—the place they most want to be. Delivering care is our highest priority and greatest joy. How we prepare our Nurses for success : Paid training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Alaya Care We care for clients of all ages, diagnoses, and acuity levels.

We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. Additional Field Nurse Benefits Include: Medical, Dental, and Vision benefits Company-paid

life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Available Nursing Shifts: Morning, evening or overnight 8’s, 10’s, or 12’s (full shift work) PRN, Part-Time, or Full-Time No weekend or minimum requirements Apply today to join our talent network!

Requirements: Current valid nursing license in the U. S. Graduation from a qualified nursing program MAR-EPA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory

basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.

Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_dimock-c444581/job_i1971129486

POPULAR
Home care nurse (lpn)
1
Home care nurse (lpn)
Scranton, PA
Dec 24, 2023

was founded on the principle that health care gets better when clients get better care at home—the place they most want to be. Delivering care is our highest priority and greatest joy. How we prepare our Nurses for success : Paid training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Alaya Care We care for clients of all ages, diagnoses, and acuity levels.

We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. Additional Field Nurse Benefits Include: Medical, Dental, and Vision benefits Company-paid

life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Available Nursing Shifts: Morning, evening or overnight 8’s, 10’s, or 12’s (full shift work) PRN, Part-Time, or Full-Time No weekend or minimum requirements Apply today to join our talent network!

Requirements: Current valid nursing license in the U. S. Graduation from a qualified nursing program MAR-EPA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory

basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.

Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_scranton-c445981/home-care-nurse-lpn-scranton_i1971738193

POPULAR
Rn - experienced registered nurse - (geisinger community medical center
1
Rn - experienced registered nurse - (geisinger community medical center
Scranton, PA
Dec 25, 2023

opportunities on the following units at GCMC (based on availability): Admissions Unit Advanced Acute Care Cardiac/Telemetry Cardiac Special Care Unit Childbirth Unit Emergency Department Epilepsy Monitoring Unit Float Pool Intensive Care Unit Operating Room Orthopedics Perioperative Progressive Care Unit Vascular Access Please feel free to apply directly into the desired unit if an opening is available.

Job Duties Benefits of working at Geisinger: Comprehensive benefits package, including health insurance that starts day one of employment Relocation assistance for eligible candidates Grow your career with up to $5,000 in tuition reimbursement per year Three medical plan choices, including

options to save with a flexible spending account (FSA) and health savings account (HSA) Company paid Life Insurance and Long-term Disability Competitive 401(k) plan that includes automatic Geisinger contributions starting day one of employment Robust PTO plan in addition to six paid holidays and 32 hours of personal time per year My Health Rewards wellness program to improve your health and earn incentives Family-friendly support to include adoption assistance, paid parental leave, paid military leave and a free membership with discounted backup care for your loved ones.

The ability to work under a Temporary Practice Permit until you take NCLEX Shared governance structure that empowers

our nurses Professional opportunities for growth and advancement Support and mentorship from a full range of dedicated nursing leaders Community involvement through our Employee Resource Groups Employee referral incentive program Job Description In accordance with the standards of care established by the State Board of Nursing, Responsible for the delivery of patient care through the nursing process of backssment, planning, implementation and evaluation.

Directs and guides patient teaching and activities of ancillary personnel. Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure.

Completes backssments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team. Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions. Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and takes action to proactively resolve and facilitate patient needs.

Makes assignments in collaboration with other team members. Directs and alters assignments in response to changes in patient situations. Promotes teamwork by delegating tasks to team members based on skill, expertise, time availability, acuity, and needs of the patient. Problem solves, troubleshoots and takes corrective measures in the care and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence based practice. Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics.

Supports and participates in initiatives that support the Magnet mission. Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive.

They represent typical elements considered necessary to successfully perform the job. Position Details Hours: vary based on specific unit needs and every other weekend and holiday requirement. Join the Geisinger Family! Apply now! To learn more about Geisinger opportunities, please contact Rebecca Miszkiel at Education Graduate from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support Certification - Default Issuing Body Our Purpose & Values OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability or status as a protected veteran.

For more details: jobs-search. org/insurance_lake-winola-c444721/rn-experienced-registered-nurse-geisinger-community-medical-center-scranton-lake-winola_i1972002827

Insurance In Pennsylvania

1
Insurance Follow-up Rep
Allentown
Oct 05, 2023

need to be submitted to the provider representative for contracting action. Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective action. Prepares reports for meetings with provider representative and senior leadership, as required.

Education - Required: High School Diploma/GED Education - Preferred: Associate's Degree in Health Care Science, Business or related field. Experience - Required: 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field. Experience - Preferred: 1 year Medical Coding Experience. Knowledge, Skills,

and Abilities - Required: Excellent follow-up and verification skills. Excellent verbal and written communication skills. Knowledge of insurance contracts, and regulations.

Proficient with Microsoft Excel, Word, and Power Point applications. Strong analytical, mathematical and organizational skills. Successful Completion of DOE and Revenue Cycle Education Training within 3 months of hire. Licensure - Preferred: CPAT - Certified Patient Accounting Technician or equivalent

1
Tele step-down travel rn - $2,334 per week
Allentown
Dec 22, 2023

from the American Heart Association Active professional license within the state of practice NIHSS stroke scale certification and other specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $2,334 per week Location: Allentown, PA Shift Schedule: Nights Assignment Duration: 6 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.

org/insurance_allentown-c445985/job_i1970118473

1
Preservice & Insurance Verification Specialist
Allentown
Dec 23, 2023

Communicates new insurance benefits found to Utilization Management as well as other departments and physician offices throughout the network. Job Duties Obtains and verifies demographic, clinical, financial, and insurance information in the process of pre-registering and financially clearing patients for service delivery.

Performs complete and accurate account pre-registration and insurance verification functions. Meets required accuracy rates. Completes registrations in accordance with department productivity and timeliness standards. Works to provide patient information which maximizes reimbursement, achieves collection ratios, and meets accounts receivable (AR) goals. Ensures that

scheduled appointments match the corresponding account status registration so that information flows into the designated work queue workflows. Creates estimates and identifies any non-covered patient responsibilitiy such as coinsurance, deductibles, and copayments prior to service.

Provides general information to hospital departments, physician offices, patients, and families and ensures that patients meet financial requirements. Works with all pre-service departments and any department throughout the revenue cycle to ensure patient expectations are met. Minimum Qualifications High School Diploma/GED 3 years Previous experience in a customer-oriented environment, patient registration,

or insurance-related field. and 1 year Experience in a related healthcare environment with pre-cert, billing, and registration background.

Ability to anticipate and understand customer financial needs, document, and/or relay patients' needs to appropriate personnel. Knowledge of medical terminology. Must be self directed and able to prioritize duties in fast paced environment. Preferred Qualifications Associate's Degree and Specialized training in insurance, coding, billing, or similar healthcare certificate programs. Knowledge of EPIC, Navinet, and Passport. Ability to speak Spanish. Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

1
Rn - new grads
Allentown
Dec 14, 2023

Commission on Accreditation (ANCC)! BAYADA Offers Nurse Residents: One on one care Weekly pay Flexible scheduling after our 6-week training program Electronic charting using Alaya Care Paid training and shadowing Awarding-winning adult and pediatric Simulation labs Short commute times - we match you with cases near your home Around the clock clinical support by phone$1,200 nursing referral bonuses BAYADA Home Health Care was founded on the principle that health care gets better when clients get better care at home-the place they most want to be.

Delivering care is our highest priority and greatest joy! We care for people of all ages, diagnoses, and acuity levels, giving you the chance

to explore your interests and practice new skills. Apply now to join our team! Requirements Current valid nursing license in U. S. and graduation from a qualified nursing program CPR in good standing Benefits Include: PTOMedical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Preventive Care Coverage for all employees (PRN included) Want to learn more about the program?

Haven't taken your NCLEX yet? Attend a live info Session by clicking here: MAR-EPA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc.

and its associated entities and joint venture partners, are Equal Opportunity Employers.

All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_lehighton-c445796/rn-new-grads-lehighton_i1960638470

1
Local contract nurse rn - school rn - $45 per hour
Allentown
Jan 19, 2024
1
Tele step-down travel rn - $2,320 per week
Allentown
Jan 19, 2024