- Whitsons Culinary Group (Collegeville, PA)
- …training, scheduling, and performance management to ensure service excellence. + Support new account openings and serve as a key player in onboarding processes. + ... compliance, patient satisfaction, and team support needs. + Collaborate with clinical and wellness teams, participate in facility leadership meetings, and represent… more
- St. Luke's University Health Network (Allentown, PA)
- …collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale ... based on clinical documentation, application of LCD, relative carrier policy and...trends to the coordinator + Maintain meticulous documentation, spreadsheets, account , and claim examples of root cause issues. Performs… more
- AmeriHealth Caritas (Harrisburg, PA)
- …supports providers through complex enrollment and documentation processes. The Specialist liaises between providers and internal departments such as Credentialing, ... Clinical , Member Services, and Provider Maintenance, ensuring compliance with...+ Submit provider agreements and enrollment information to Credentialing, Account Executive (AE), and Provider Maintenance departments. + Maintain… more