- UPMC (Pittsburgh, PA)
- …**Key Responsibilities:** . **Comprehensive Auditing:** Conduct UPMC-wide audits to ensure medical record documentation supports the services coded and billed in ... CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct… more
- AmeriHealth Caritas (Harrisburg, PA)
- …to Out of Network (OON) agreements, provider contracts, and Supplemental Medical Assistance Enrollment applications. This role ensures the timely and accurate ... supports providers through complex enrollment and documentation processes. The Specialist liaises between providers and internal departments such as Credentialing,… more
- Amrize (Whitehall, PA)
- …on employee relations matters. * Conducts investigations for select employee relations claims . * Actively engages in communications with other HR team members around ... Field **Required Work Experience:** 3-5 years working as a HR Generalist, Specialist , or Business Partner **Required Technical Skills:** Strong computer skills with… more