- Fresenius Medical Center (Harrisburg, PA)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... have followed through with the application process. + Obtains premium statements and signatures from...when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...on how to add the information into your official application on Humana's secure website. Travel: While this is… more
- Cardinal Health (Harrisburg, PA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management ... also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be asked to perform other… more
- Cardinal Health (Harrisburg, PA)
- …building relationships of trust with customers and internal business partners. The Coordinator , Collections is responsible for the timely follow-up and resolution of ... claim processing and denial management preferred. + Familiarity with Medicare, Medicaid , commercial insurance plans, and managed care preferred. + Proficiency in… more
- WellSpan Health (York, PA)
- …initial credentialing and recredentialing: - Creates, assembles and prepares application packet for providers to complete, reappointment applications for WellSpan ... per established policies and procedures. - Enters provider credentials and application requirements into Cactus, CAQH. - Initiates mandated queries, both federal… more
- UPMC (Pittsburgh, PA)
- …with the department's designated work plan. - Demonstrate appropriate application of policies, procedures, and guidelines through continuous learning. Ensure ... - Assume accountability for assigned standards for Centers for Medicare and Medicaid Services (CMS) and /or Pennsylvania Department of Human Services (DHS) annual… more
- Highmark Health (Harrisburg, PA)
- …formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They ... regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please… more
- Humana (Harrisburg, PA)
- …code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Community Legal Services, Inc. (Philadelphia, PA)
- …income and health coverage including TANF Cash Assistance, SNAP (Food Stamps), Medicaid , Medicare, LIHEAP, SSI and other Social Security benefits. Paralegals are ... clients (with attorneys) at administrative hearings or informal grievances with Medicaid Managed Care Organizations as needed + Presenting community education… more