- Highmark Health (Harrisburg, PA)
- …robust analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will ... a general understanding of data flows from various corporate systems (eg, claims, billing , lab, and Rx), to solve complex issues and problems. A comprehensive… more
- Cardinal Health (Harrisburg, PA)
- …Service Operations is responsible for providing outsourced services to customers relating to medical billing , medical reimbursement , and/or other ... calls from customers to place orders or reorders of medical supplies. Agents will act as a liaison, problem-solving...for new and existing customers, collecting necessary information for insurance billing ; collect payment as needed +… more
- Penn State Health (Lancaster, PA)
- …Medical terminology and Revenue Cycle experience preferred + Medical health insurance knowledge preferred + Medical billing and coding preferred **WHY ... and/or registration. This includes converting the correct visit within the billing system, verifying insurance and benefit eligibility, and reviewing… more
- UPMC (New Castle, PA)
- …and problem resolution during evenings, weekends and holidays. + Confirm insurance eligibility, accountable for third party reimbursement and coordination ... of benefits to support a seamless billing process. + Counsel patients regarding insurance ...experience in a healthcare or 1 year in a medical / billing /fiscal setting or 6 months in a… more
- Highmark Health (Pittsburgh, PA)
- …+ 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, ... reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts… more
- Exelon (Philadelphia, PA)
- …Bonus for eligible positions: 25% + 401(k) match and annual company contribution + Medical , dental and vision insurance + Life and disability insurance ... of electric utility operations, and in-depth working knowledge of financial, legal, billing , and regulatory concepts unique to the electric utility industry. Explain… more
- Trinity Health (Newtown, PA)
- …across multiple facilities/states. + Strong knowledge of third-party & government payer billing & reimbursement guidelines as well as department performance ... needs.** **:** + Responsible for pre-registration, scheduling, electronically verifying insurance eligibility & accurately identifying & collecting patient financial… more
- St. Luke's University Health Network (Allentown, PA)
- …of prior authorizations for SLPG Primary Care and Specialty practices, submission of insurance referrals for all Primary Care and Care Now departments, peer to peer ... cash collection for all services assigned to ensure proper reimbursement . The intent of this job description is to...op erre imburs e ment. + Responsible for reviewing medical necessity of genetic testing/infusion services in addition to… more
- Geisinger (Wilkes-Barre, PA)
- …+ Performs triage nursing assessments of subjects as needed. + Reviews medical records of patients, interviews patients and collaborates with investigators and ... incorporate all details of research protocol. + Insures appropriate billing charge documents are submitted. + Educates staff, as...dental and vision) starting on day one + Three medical plan choices, including an expanded network for out-of-area… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …and all patient and provider interactions. + Keeps up to date with reimbursement process, billing /coding nuances, insurance plans, payer trends, financial ... access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role… more