- WellSpan Health (York, PA)
- ** Full -time, 80 hrs/2 weeks** **Monday to Friday** **1p-9p...Serves as a role model for recovery for both staff and peers and partners with peers in developing ... + Meets with team on a bi-weekly basis for staff meeting and peer reviews. + Assists Peers with...Diploma or GED Required + Associates Degree As a Medical Assistant or related health field. Preferred **Work Experience:**… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( _fully insured_ ... by using technical and claims processing expertise. + Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify… more
- Abbott (Williamsport, PA)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... your family, be your true self, and live a full life. You'll also have access to: + Career...you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO… more
- CVS Health (Harrisburg, PA)
- … adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies ... - Performs claim rework calculations. - Distributes work assignment daily to junior staff . - Trains and mentors claim benefit specialists.- Makes outbound calls to… more
- Penn State Health (Mechanicsburg, PA)
- …religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information._ **Position** Specialist Clinical Counselor - ... State Health** - **Holy Spirit Hospital** **Location:** US:PA:Mechanicsburg **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** Monday through Friday… more
- Penn Medicine (Bala Cynwyd, PA)
- …**Hours: Full -Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality with ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full -time Contact Center Specialist to support Groff Orthopaedics - UPMC located at 510 S. Aiken Avenue Suite EG ... through Friday 8am to 5pm. The ideal candidate will have previous medical office experience. **Responsibilities:** + Answer multi-line telephone system, with a clear… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for ... Ensures notification of reimbursement to physicians, nurses, financial clearance staff , and patients prior to services being rendered. JOB...AND EXPERIENCE: One to two years of experience in medical billing office, medical setting or insurance… more
- Penn State Health (Hershey, PA)
- …**Position** Clinical Quality Value Analysis Specialist - Supply Chain Clinical Value Analysis **Location** US:PA: Hershey | Nursing | Full Time **Req ID** 80857 ... - **Penn State Health Corporation** **Location:** US:PA: Hershey **Work Type:** Full Time **FTE:** 1.00 **Shift:** Day **Hours:** Day **Recruiter Contact:** Garrett… more