- WellSpan Health (Gettysburg, PA)
- …of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care ... to assigned patient age group(s). + Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and… more
- CVS Health (Harrisburg, PA)
- …processing logic to verify accuracy of claim payment, member eligibility data , billing/payment status, prior to initiation of appeal process. --Research incoming ... electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.… more
- CVS Health (Harrisburg, PA)
- …year experience working in a customer service or call center environment. * Data entry experience. * Working knowledge in Microsoft Office, specifically Outlook and ... Word. **Preferred Qualifications** *Medical terminology *multi-tasking *using multiple screens *typing skills 40-50wpm *Entering patient profiles in computer system * Experience work in a healthcare environment. *Detail oriented **Education** High School… more
- Geisinger (Danville, PA)
- …regulation changes and makes recommendations based on outcomes. + Performs data and various forms of market research identifying business opportunities, translates ... information and develops concrete business plans. + Oversees the delegation of responsibilities for assuring all new codes are revised for addition to appropriate fee schedules in order to maintain compliance with federal regulations. + Includes reviewing… more
- TEKsystems (Canonsburg, PA)
- …other control records necessary for processing of internal and external reports. Enters data for new projects and change orders into the accounting system. Provide ... project financial oversight; including but not limited to, forecasting revenue, monthly invoicing, cashflow, and budget vs cost reviews (WIP reviews). Establish project milestones and analyze costs; Exposure to financial systems to review actual vs. estimated… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …is responsible for supporting a learning culture through the coordination of all data entry, analysis and reporting of program outcomes to aid to program development ... and delivery. Develops and implements tools to effectively measure program outcomes. Works collaboratively with the Leadership Team to insure compliance with all funders, licensing and accrediting bodies. The Quality Review Specialist also prepares all agency… more
- Carrington (Coraopolis, PA)
- …balance, and check results for accuracy; ability to process and input numerical data with speed and accuracy. + Ability to communicate with individuals utilizing a ... telephone; requires ability to hear and speak effectively on the telephone. + Ability to multi-task and meet all deadlines **What you'll need:** + High School diploma or Equivalent required; some college education preferred + Six (6) months to one (1) year of… more
- CVS Health (Monroeville, PA)
- …resolve billing edits. + Maintain patient demographic and insurance information and data collections systems, including all. + Complete billing reports, queues, or ... diversions according to payer and company policy guidelines + Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing. + Contact patients, physician's… more
- Cardinal Health (Harrisburg, PA)
- …as needed regarding inquiries. + Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, ... financials and insurance information. + Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership. **_Qualifications_** + 1-3 years of experience, preferred + High School Diploma, GED or equivalent work… more
- Owens & Minor (Sharon Hill, PA)
- …of equipment based on payor guidelines, monitoring incoming faxes, and performing data entry. + Work with sales team, referrals and/or patients to gather ... documentation/information needed to meet insurance guidelines. Requests health plan authorizations/information as required; either electronically or verbally. + Review of new and recurring patient accounts, obtain all necessary documentation from the referral… more