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2 results for Insurance Authorization Specialist in Pittsburgh, PA
- Pittsburgh, PA
- onsite
- Temporary to Hire
- 20 - 25 USD / Hourly
- <p>Responsibilities</p><ul><li>Enter and review patient demographic information.</li><li>Communicate with facility and family representatives to obtain demographic information and validate appropriate billing charges.</li><li>Complete assigned daily billing tasks.</li><li>Review and process Medicaid pending claims.</li><li>Perform daily and comprehensive census reconciliations to ensure data accuracy.</li><li>Conduct hospice reconciliations to maintain accurate records.</li><li>Process third-party insurance claims.</li><li>Complete rebills and credits as needed.</li><li>Generate month-end and interim reports.</li><li>Review pre-billing reports for accuracy.</li><li>Review invoices and initiate claim corrections when necessary.</li><li>Assist with prior authorizations and non-formulary documentation processes.</li><li>Route and triage documents to appropriate work queues.</li><li>Handle inbound and outbound customer phone calls.</li><li>Assist with third-party payer audit preparation.</li><li>Perform additional duties as assigned.</li></ul><p><br></p>
- 2026-11-13T00:00:00Z
- Zelienople, PA
- onsite
- Temporary / Contract
- 0 - 0 USD / Yearly
- <p>Benefits Analyst / Benefits Administrator (Contract-to-Hire)</p><p>We are seeking a <strong>Benefits Analyst / Benefits Administrator</strong> to support a large organization during a critical benefits transition and open enrollment period. This is a hands-on, back-office benefits operations role focused on benefits administration, carrier reconciliations, eligibility management, vendor coordination, and benefits data accuracy. The ideal candidate has experience <strong><u>managing employee benefit programs, reconciling deductions and invoices, working with benefit vendors and brokers, and resolving complex benefits administration issues.</u></strong></p><p><strong><u></u></strong></p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Administer employee benefit programs, including medical, dental, vision, life, disability, retirement, and related plans.</li><li>Review and maintain benefit elections, eligibility records, employee deductions, and employer contributions.</li><li>Investigate and resolve benefits discrepancies involving payroll deductions, carrier invoices, vendor files, and employee enrollments.</li><li>Perform carrier invoice reconciliations and validate billing, eligibility, and contribution accuracy.</li><li>Audit benefits data, identify discrepancies, and resolve enrollment and deduction issues.</li><li>Partner with benefit vendors, brokers, carriers, payroll, and HR teams to address escalated issues and ensure smooth benefit administration.</li><li>Support open enrollment processing, testing, audits, and administrative activities.</li><li>Manage benefits-related reporting, file reviews, and data validation efforts.</li><li>Handle complex employee benefit situations, including life events, eligibility changes, and vendor escalations.</li><li>Assist with benefits transitions, process improvements, and ongoing program administration.</li></ul><p><br></p>
- 2026-10-30T00:00:00Z