- R1 RCM (Jenkintown, PA)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... third party payers to resolve unpaid claims in proving medical necessity of the patient's admission + Works with...determinations + Work closely with Appeals staff (Letter writers, Case Managers and Hearing specialists) in obtaining all pertinent… more
- Highmark Health (Grove City, PA)
- …service environment + Experience operating a PC and using software applications Preferred + Medical terminology and obtaining insurance verifications + ... go into effect the 1st of the month following the start date** + ** Medical (Highmark Insurance)** + **Dental (United Concordia)** + **Vision** + **Paid Time Off (18… more
- Sedgwick (Harrisburg, PA)
- …and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims. + Establishes and maintains effective ... in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling. +… more
- Geisinger (Pittston, PA)
- …work experience is required. Acute care or inpatient nursing experience is preferred . Emergency medicine experience is helpful but not required. + Collaborates with ... team huddles. + Coordinates patient care schedules, diagnostics, and delivery of durable medical equipment. + Triages and manages acute patient needs and barriers by… more
- Penn Medicine (Lititz, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by verifying that the principal… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... coercive abuse, bereavement counseling, parenting skills and difficulty coping with medical diagnoses or chronic conditions. + Communicates, coordinates and insures… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... pitcher at their bedside. All patients are consistently addressed appropriately by preferred name unless patient has verbally specified another form of address. Will… more
- Highmark Health (Sharpsburg, PA)
- …Description :** **GENERAL OVERVIEW:** Responsible for rendering professional advanced emergency medical and critical care to ill or injured patients in collaboration ... with an RN partner and medical control in the transport environment. Provides patient focused...Participates in Critical Care Transport quality assurance activities including case reviews, monthly Team and Safety meetings. Actively participates… more
- Always Best Care Senior Services (Philadelphia, PA)
- …established home exercise programs as per physician directives. * Adhere to medical orders regarding treatment plans and visit frequencies, obtaining and documenting ... verbal medical orders when necessary. * Serve as the primary agency provider/ case manager when required, completing assessments, care plans, and OASIS data… more
- ASM Research, An Accenture Federal Services Company (Harrisburg, PA)
- …assistance, services, resources, referrals, and consultation on various Non- Medical Counseling (NMC)/Employee Assistance Programs (EAP) and work/life issues ... services, which can include but are not limited to, non- medical counseling, health and wellness, and other specialty and...contractual service standards and document all cases in the Case Management System (CMS). + Performs call follow-up and… more