Top 6 Senior claims processor Jobs in Pennsylvania

SR HRA CLAIMS PROCESSOR
Central Data Services, Inc —Pittsburgh, PA
- From $24 an hour
- Full-time
- Mid-level
- Organizational skills
- Medical terminology
- Health insurance
- 401(k)
Quick Apply
Claims Processor
SeniorLIFE of PA —Johnstown, PA
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Senior Manager, Accounts Receivable
Morgan Lewis —Philadelphia, PA
- Online Application
- Hybrid work
- Writing skills
- 3 years
- Math
11d
Senior Manager, Accounts Receivable
Morgan, Lewis & Bockius —Philadelphia, PA
- Online Application
- Hybrid work
- Writing skills
- 3 years
- Math
11d
Category Manager - Manufacturing Procurement
Arconic —Pittsburgh, PA
- Full-time
- 5 years
- Office
- Finance
Loan Servicing Specialist I
S&T Bank —Indiana, PA
- $15.00 - $22.21 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
6d

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senior claims processor jobs near pennsylvania

SR HRA CLAIMS PROCESSOR

Central Data Services, Inc -
Pittsburgh, PA

Quick Apply

Job Details

Full-time
From $24 an hour

Benefits

Health insurance
401(k)
Paid time off
Parental leave
Vision insurance
Life insurance

Qualifications

Organizational skills
Clerical experience
Health information management
Medical terminology
Documentation review

Full Job Description

Job Summary
We are seeking a detail-oriented and organized SR HRA Claims Processor to join our healthcare administration team. The ideal candidate will be responsible for processing health reimbursement account (HRA) claims efficiently and accurately, ensuring compliance with insurance policies and medical coding standards. This role requires strong clerical skills, familiarity with medical documentation, and the ability to verify insurance information to facilitate smooth claims processing and reimbursement procedures.

Responsibilities

Review and process HRA claims in accordance with established guidelines and policies
Verify insurance coverage, including Medicare, Medicaid, and Workers' Compensation laws
Ensure accurate coding using ICD-9, ICD-10, CPT, HCPCS, and DRG codes for medical procedures and diagnoses
Maintain detailed medical documentation and records for each claim processed
Perform insurance verification to confirm patient eligibility and coverage details
File claims electronically using medical billing software and financial software systems
Collaborate with healthcare providers to clarify or obtain additional medical records or documentation as needed
Ensure compliance with all relevant regulations related to medical coding, billing, and insurance processing
Organize and file claims documentation systematically for audit readiness
Keep up-to-date with changes in medical coding standards and insurance regulations

Experience

Prior clerical experience in healthcare or insurance processing preferred
Knowledge of medical terminology, ICD-9, ICD-10 coding systems, CPT coding, HCPCS, DRG classifications, and Workers' Compensation law highly desirable
Experience with medical billing software and financial software applications is a plus
Familiarity with Medicare regulations and medical records management is advantageous
Strong organizational skills with the ability to handle multiple claims efficiently
Excellent attention to detail to ensure accurate claim processing and coding accuracy

This position offers an opportunity to contribute to efficient healthcare reimbursement processes while working in a professional environment that values accuracy and compliance.

Job Type: Full-time

Pay: From $24.00 per hour

Benefits:

401(k)
Health insurance
Life insurance
Paid time off
Parental leave
Vision insurance

Work Location: In person

Quick Apply

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senior claims processor jobs in pennsylvania

SR HRA CLAIMS PROCESSOR

Claims Processor

Senior Manager, Accounts Receivable

Senior Manager, Accounts Receivable

Category Manager - Manufacturing Procurement

Loan Servicing Specialist I

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