Top 233 Claims Jobs in Erie, Pa

Provider Advocate - Erie, PA
UPMC —Erie, PA
- $20.20 - $32.01 an hour
- Full-time
- Mid-level
- Microsoft Office
- High school diploma or GED
Customer Service Representative - State Farm Agent Team Member
Tony Demichele - State Farm Agent —Erie, PA
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Network Manager - Erie (Hybrid)
UPMC —Erie, PA
- $29.92 - $51.79 an hour
- Full-time
- Sales
- Mid-level
- Office
Billing / Accounts Receivable
LECOM Institute for Successful Living —Erie, PA
- Full-time
- Bachelor of Science
- In-person
- Associate's degree
- AD&D insurance
- Paid holidays
Quick Apply
5d
Medical Insurance Biller
LECOM Institute for Successful Living —Erie County, PA
- Extended hours
- HIPAA
- Mid-level
- Administrative experience
- Paid holidays
- Dental insurance
Quick Apply
CDL Driver
G&C Food Distributors & Brokers, Inc. —Ripley, NY
- $90,000 - $120,000 a year
- Weekends as needed
- CDL A
- Mid-level
- 21 years or older
- Paid training
- Passenger ride along program
Quick Apply
CDL A OTR $2500 - $3500 Weekly
MB Global Logistics, Inc. —Pennsylvania
- $2,500 - $3,500 a week
- Call employer
- CDL A
- Mid-level
- Team driver
- Passenger ride along program
- Fuel card
Quick Apply
Accounts Receivable Clerk
LECOM Institute for Successful Living —Erie, PA
- Full-time
- Bachelor of Science
- In-person
- Associate's degree
- AD&D insurance
- Paid holidays
Quick Apply
Claims Adjuster Workers Compensation (5+ yrs exp required)
iSurity, Inc. —Pennsylvania
- Full-time
- Hybrid work
- Customer service
- Office
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
CDL A Lease Purchase Truck Driver - OTR
MN89 INC —Pennsylvania
- $2,500 - $3,500 a week
- Heavy lifting
- CDL A
- Mid-level
- Fuel card
Quick Apply
Benefits and Leave Specialist
LECOM Medical Center and Behavioral Health Pavillion —Erie, PA
- $53,888.39 - $64,897.85 a year
- Full-time
- HIPAA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
13d
Medical Billing Specialist
LECOM Medical Center and Behavioral Health Pavilion —Erie, PA
- Full-time
- Customer service
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Remote Licensed Pharmacy Technician
WALGREENS —Pennsylvania
- $16.50 - $19.25 an hour
- Full-time
- Remote
- Background check
- Computer literacy
- Windows
- Wellness program
- Health savings account
Senior Medical Stop Loss Underwriter
HM Insurance Group —Pennsylvania
- $79,300 - $127,100 a year
- Full-time
- Remote
- Computer Science
- 5 years
- Writing skills
Billing Specialist
Sarah A. Reed Childrens Center —Erie, PA
- Full-time
- Mid-level
- Associate's degree
- Communication skills
- Disability insurance
- Health insurance
EFT Processor II
Northwest Bank —Erie, PA
- Full-time
- Mid-level
- Finance
- Business Administration
Quick Apply
Patient Care Coordinator
Shawnee Optical-West Erie —Erie, PA
- Computer literacy
- High school diploma or GED
- Organizational skills
Quick Apply
Field Representative-Insurance Inspections-Erie, PA
Verisk —Erie, PA
- Full-time
- 18 years or older
- Mid-level
- Math
- Paid training
- Fuel card
Roadway Programs Technician 1
Commonwealth of PA —Waterford, PA
- $41,506 - $61,927 a year
- Overtime
- Computer Science
- High school diploma or GED
- Analysis skills
- Paid parental leave
- Health insurance
5d
Customer Service Representative - State Farm Agent Team Member
Jeremy Borrero - State Farm Agent —Erie, PA
- $50,000 - $75,000 a year
- Full-time
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply

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Provider Advocate - Erie, PA

UPMC -
Erie, PA

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Job Details

Full-time
$20.20 - $32.01 an hour

Qualifications

Customer communication
High school diploma or GED

Full Job Description

UPMC Health Plan is hiring a team of Provider Advocates to support the Provider Services department. This is a full-time hybrid position based in the Erie, PA area. While you’ll primarily work remotely, you’ll come into the office occasionally depending on departmental needs. Must be located in or around Erie, PA to be considered.

The Provider Service representative acts as an advocate for Health Plan customers (providers, vendors, facilities, etc.) by providing guidance, interpretation and education on eligibility levels, benefit design, claim status, and various customer related inquires. Responsible for efficient and courteous resolution to verbal and written inquiries to ensure customer satisfaction while maintaining call servicing and quality standards.

Responsibilities:

Actively maintain worklist open cutlogs and follow up within the designated time standards.
UPMC Health Plan Provider Service Representative must adhere to the following service level standards of excellence: Quality: 98% Monthly Average - Production: 60 calls per day.
Maintain employee/insured confidentiality.
Provide assistance to other departments during periods of backlogs.
Assist with adjustments in accordance with company policies and procedures.
Quality customer service will be measured by, but not limited to, the number of complaints from a customer (with a goal of zero) and by the number of second requests for information or response received (with a goal of zero).
Interface with customers by telephone or correspondence to answer inquiries and resolve concerns.
Quality customer service includes, but is not limited to, responding to customer requests and inquiries in a timely and accurate manner in keeping with Health Plan Policies and Procedures, Department of Public Welfare (DPW) laws and standards, Department of Insurance (DOI) laws and standards, Department of Health (DOH) laws and standards, Department of Health and Human Services (DHHS), Health Care Financing Administration (HCFA), and National Committee for Quality Assurance (NCQA) standards.
Quality customer service should be applied to all customers, including all Health Plan members and potential members, all Health Plan providers and potential providers, all Health Plan and Health System employees, all Health Plan and Health System vendors, and all government and other oversight organization staff.
Identify any area of concerns that may compromise client satisfaction.
Maintain or exceed designated quality standards.
Participate in team meetings, provide ideas and suggestions to ensure client satisfaction and promote teamwork.

High school graduate or equivalent.
2 years customer service experience or call center experience required. OR 1 year health insurance call center and claims adjustments experience required.
Keyboard dexterity and accuracy.
Excellent knowledge of medical terminology, ICD-9 and CPT-4 coding.
Excellent knowledge of HMO, POS and PPO plans, coordination of benefits, subrogation and Medicare.
Excellent organizational, interpersonal and communication skills.
Competent in MS Office/PC skills.
Detail Oriented.

Licensure, Certifications, and Clearances:
Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply Now

Refine Your Search

claims jobs in erie, pa

Provider Advocate - Erie, PA

Customer Service Representative - State Farm Agent Team Member

Network Manager - Erie (Hybrid)

Billing / Accounts Receivable

Medical Insurance Biller

CDL Driver

CDL A OTR $2500 - $3500 Weekly

Accounts Receivable Clerk

Claims Adjuster Workers Compensation (5+ yrs exp required)

CDL A Lease Purchase Truck Driver - OTR

Benefits and Leave Specialist

Medical Billing Specialist

Remote Licensed Pharmacy Technician

Senior Medical Stop Loss Underwriter

Billing Specialist

EFT Processor II

Patient Care Coordinator

Field Representative-Insurance Inspections-Erie, PA

Roadway Programs Technician 1

Customer Service Representative - State Farm Agent Team Member

I want to receive the latest job alert for claims in erie, pa

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