- Baylor Scott & White Health (Harrisburg, PA)
- …no matter where you are on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub to explore our offerings, which ... may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar...cost reports for supported entities. Assists Reimbursement Managers and management in understanding reimbursement issues. Serves as a consultant… more
- Geisinger (Danville, PA)
- …with patients, obtains information and completes required tasks to determine patient's eligibility for Medicaid and other federal, state, and local government ... and out surgeries and outpatient clinical departments. + Follows Revenue Management policies and procedures regarding financial matters and payment arrangements. +… more
- CVS Health (Harrisburg, PA)
- …medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. Handles incoming ... requests for appeals and pre-authorizations not handled by Clinical Claim Management . Performs review of member claim history to ensure accurate tracking of benefit… more
- Trinity Health (Philadelphia, PA)
- …system + Medical terminology and insurance knowledge + Experience with insurance eligibility systems including Medicaid , Medicare, and other commercial and ... as assigned, and mentor and train colleagues as needed. In the absence of Patient Access Management , they serve as the "go to person" for the areas to which they are… more
- CVS Health (Blue Bell, PA)
- …in optimizing healthcare data systems, ensuring accurate and efficient information management . The candidate will collaborate with cross functional teams to enhance ... Risk Adjustment data to the Center for Medicare and Medicaid Services, creating running analytics reports from data sets...and analyzing huge data sets. + 3+ years data management experience. + 3+ years data analysis experience. +… more
- Aveanna Healthcare (Reading, PA)
- …the delivery of unmatched clinical care for Aveanna' s clients at home. Put your management skills to use by leading, teaching and mentoring staff to ensure they are ... community. The administrative component of this job will consist of internal case management , completing patient intake and discharge to home, our start of care… more
- Aveanna Healthcare (Philadelphia, PA)
- …Employee Stock Purchase Plan with 15% discount + Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... by participating in educational programs, continued education units, internal learning management skills and skill evaluations. Requirements * Graduate of an… more
- Aveanna Healthcare (Coatesville, PA)
- …Employee Stock Purchase Plan with 15% discount + Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... skin and nail care, oral hygiene, dressing and eating + Assist with household management , such as: + Home safety and sanitation + Infection control + General light… more
- Centene Corporation (Harrisburg, PA)
- …flexibility. **This role is remote/work from home with 50% travel to visit Medicaid LTSS participants in nursing facilities typically within no more than 2 hours ... Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop… more
- CVS Health (Harrisburg, PA)
- …federal and state programs that we participate in, such as Medicare Part D and Medicaid , but also the members we provide service to. As a Representative II Benefits ... driving expected results and meet project target dates as required by management . Our organization offers a benefit package including vacation and holiday paid… more