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

Requires daily contact with customers, attorneys, bank officers, and insurance agents by phone and/or letters Order flood determinations for new commercial loans in process Reviews all commercial and mortgage new loans for proper hazard/flood insurance coverage/documentation Tracks flood insurance policies for lapses in coverage Prepares and sends required regulatory lett

Primary Office Location One North Shore Center. Pittsburgh, Pennsylvania. 15212. Join our team. Make a difference for us and for your future. Position Title Employee Benefits Account Executive Business Unit INSA Reports to Director of Employee Benefits Position Overview This position manages a complex book of employee benefits business and acts as the primary service cont

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

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

Process provider applications and revalidation applications through verifications, credentialing, and site visits Accurately input enrollment data into database system Conduct quality assurance functions to reduce errors and improve processes and performance Demonstrate great depth of knowledge / skills in own function and act as a technical resource to others Educate and

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for de

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating & Underwriting services for Stop Loss products. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for grou

1. Elicits data and reporting requirements from hospital leadership, clinicians, and other staff, using interviews, document analysis, requirements workshops, site visits, use cases, scenarios, data analysis, task, and workflow analysis. 2. Queries and analyzes data from hospital systems such as our electronic medical record system (Epic), enterprise data warehouse (EDW),

Under the supervision of the Director of Compliance, the analyst will manage, develop, implement and monitor policies, procedures, processes, training, corrective action plans and overall operations to ensure compliance with federal and state laws and regulations affecting the Medical System and its Affiliates. Additionally, the Analyst will work collectively with Affilia

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high quality healthcare plans are designed to help keep people independent and living life on their own t

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Under Supervision, This Position Is

Inputs various data into specified computer system with limited judgment. Under direct supervision operates numerical andor alphabetical data input from source documents received from clients. Follows basic specified data entry instructions. Refers problems to higherlevel operators. Maintains records of individual production. Data entry of test request form and rebill inf

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 following duties and responsibilities reflect the expectations of this position but are not intended to be all inclusive. Serving as account support for both small and large strategic accounts and delivering service excellence Partnering with internal operational, clinical, actuarial, finance, and IT teams to proactively coordinate process/project meetings, keeping mi