- Evolent (Harrisburg, PA)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Humana (Harrisburg, PA)
- …ensuring best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in ... the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to...service telephone experience desired + Experience with SNF and/or Home Health + Prior experience with CGX,… more
- UPMC (Williamsburg, PA)
- …interns and residents how to conform to the requirements of the Health Care Financing Administration (HCFA) the American Osteopathic Association (AOA), and the ... Residency Review Committee (RRC). Performs day-to-day inpatient and outpatient billing...by patients in person. + Enters weekly physicians' nursing home charges. Obtains admission date criteria required for patients… more
- Evolent (Harrisburg, PA)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent Health has a bold mission to change the...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- UPMC (Pittsburgh, PA)
- …Adhere to all applicable laws, regulations, policies, and procedures related to Medicare , home health , and paramedic practice. Demonstrate professionalism, ... and other necessary billing information. Participates constructively in the peer- review -driven quality improvement program + Operations Adheres to system… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions ... few: * Work-Life Balance * Generous PTO package * Health benefits effective day 1 * Annual Incentive Plan...likely have the right place for you at Humana! **Work-At- Home Requirements** To ensure Home or Hybrid… more
- Humana (Harrisburg, PA)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... by also addressing other factors that can impact a patient's well-being. CenterWell Home Health specializes in personalized, comprehensive in- home care for… more
- Penn Medicine (Lancaster, PA)
- …Allied Health Professionals" is preferred. + ESSENTIAL JOB-RELATED EXPERIENCE: + A health care provider in good standing with Medicare , Medicaid, and other ... data posted to the device company websites for remote home monitoring testing. + Assess the patient's condition in...Medicare , Medicaid or any other federal or state health insurance program. This position required a license or… more
- WTW (Philadelphia, PA)
- …prior in-house experience a plus but not required. + Employee benefits, Medicare , health insurance, financial, privacy and/or regulatory background preferred. + ... candidate may also have knowledge and experience in the employee benefits, health insurance, or financial industries. More specifically, knowledge of ERISA, … more
- Robert Half Accountemps (Mars, PA)
- …near Mars, PA. This organization provides a wide range of senior care, health , and rehabilitation services. The ideal candidate will have expertise in billing and ... revenue cycle tor their diverse services, including senior living communities, home care, hospice, outpatient, and therapy services. Key Responsibilities: Billing:… more