- CVS Health (Harrisburg, PA)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... Health fraud cases **Education** A Bachelor's degree, or an Associate 's degree, with an additional three years (3 years...represents the base hourly rate or base annual full-time salary for all positions in the job grade within… more
- Cardinal Health (Harrisburg, PA)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... customer services and FDA approved pharmaceuticals. + Review Business Associate Agreements, Confidentiality Agreements and Information Security Agreements **_Qualifications_**… more
- Highmark Health (Harrisburg, PA)
- …with a basic understanding of various payer billing requirements and claims processing or experience with payer credentialing/enrollment requirements + Advanced ... + Excellent customer service, follow-up, and communication skills Preferred + Associate 's degree + Certified Provider Credentialing Support (CPCS) by the National… more
- UPMC (Pittsburgh, PA)
- …and certification opportunity available through completion of a free on-line program. _Title/ Salary will be determined at time of offer and will be commensurate ... Pharmacy Technician, Intermediate title. Starting rate for Pharmacy Technician, Associate is $18.60/hour._ **Purpose:** The Pharmacy Technician, Intermediate provides… more
- Highmark Health (Harrisburg, PA)
- …recommends process improvements for efficiencies. May provide guidance to Associate level employees. **ESSENTIAL RESPONSIBILITIES** + Intake operational objectives ... or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health… more