- Select Medical (Camp Hill, PA)
- …you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an ... **Overview** **Medicare Claims Resolution Specialist** **Starting at $17.00/hr but flexible...and operational needs. + Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order… more
- St. Luke's University Health Network (Allentown, PA)
- …billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner ... Receivable Specialist I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance with network… more
- Highmark Health (Pittsburgh, PA)
- …Network **Job Description :** Date Posted: 20250207 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours ... Yes **CASE MANAGEMENT:** The Case Management Department at Allegheny General Hospital assists patients and their support systems in managing medical conditions… more
- Cognizant (Harrisburg, PA)
- **AR Hospital follow Up** Cognizant is one of the world's leading professional services companies. We help our clients modernize technology, reinvent processes, and ... role, the successful candidate performs advanced level work related to resolution of hospital denials. This position will be responsible for root cause analysis … more
- UPMC (Pittsburgh, PA)
- …Center for Fertility and Reproductive Endocrinology office at Magee Women's Hospital !** **Hours:** Monday through Friday, daylight hours. No evenings, weekends, or ... holidays! **Location:** Magee Women's Hospital - 300 Halket St., Pittsburgh, PA 15213. --...and is primarily responsible for obtaining and tracking necessary insurance authorizations for infertility services. Requires evaluation and pre-collection… more
- WellSpan Health (York, PA)
- …patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status. Develops and maintains ... non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans and, if applicable, hospital status. - Ensures that… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Trinity Health (Darby, PA)
- …Retirement Benefits + 5 days of CME per year + Professional Malpractice Coverage ( claims w/tail included) + Insurance Benefits + Reimbursement for licensure and ... Medicine physician to join an existing Hospitalist group at Mercy Fitzgerald Hospital in Philadelphia, Pennsylvania. The schedule for this full-time opportunity is 7… more
- Highmark Health (Jefferson Hills, PA)
- …at bedside, validates patient demographic data, identifies and verifies insurance information through payor contacts via telephone, online resources, or ... timely, accurate bill submission to include workers compensation and motor vehicle claims . Provides or obtains signatures on regulatory paperwork as required. (40%)… more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment ... years of experience as a Pharmacy Technician in a hospital , retail, or managed care setting + Certified Pharmacy...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more