- AmeriHealth Caritas (Newtown Square, PA)
- …Api. 4 years of experience using Core FACETS (Version 5.0 and above) with Claims Processing , Providers, Member Enrollment and Finance modules. 3 years of ... ensure accurate, timely data integration and analysis in order to support claim processing , patient care and regulatory compliance;using application development… more
- St. Luke's University Health Network (Nazareth, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Maintain knowledge of current insurance regulations, trends ... patients prior to and after their visits are completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- St. Luke's University Health Network (Hamburg, PA)
- …concise notes to track patient account activity and to communicate for downstream claim processing . + Responsible for contacting the Primary Care Physician ... patient prior to and after their testing is completed. Process supports clean claim processing and patient satisfaction. + Responsible to immediately resolve… more
- County of Northampton (Bethlehem, PA)
- …activities for the legal unit. Work requires the use of typing skills and the processing of a variety of documents, as well as all clerical aspects of a complicated ... written instructions that explain multifaceted procedures. Ability to perform within processing procedures that involve an understanding of multiple aspects and… more
- Cardinal Health (Harrisburg, PA)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely and accurate processing of ATSP ... for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies. + **Documentation:**… more
- Geisinger (Danville, PA)
- …position provides daily support for coding and reimbursement needs across negotiations, claims processing , and provider setup. A minimum of one certification ... + Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment… more
- UPMC (Pittsburgh, PA)
- …terminology and coding. + In-depth knowledge of electronic data interchange and claims processing , third party payer rules, reimbursement practices and ... with PBS billing staff to identify, analyze and resolve CDM-related claim submission issues. + Establish and maintain collaborative, customer-focused relationships… more
- Commonwealth of Pennsylvania (PA)
- …position. Failure to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved score or ... addresses the items listed below which relate to your claim . If you indicated you have no work experience...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to the tasks performed in this position and to claim education. Failure to provide complete and accurate information...to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved… more
- Intermountain Health (Harrisburg, PA)
- …data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, ... Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position… more
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