- Danaher Corporation (Philadelphia, PA)
- …+ Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid) + Demonstrated and presentation skills Travel, Motor Vehicle Record… more
- Sedgwick (Harrisburg, PA)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- University of Pennsylvania (Philadelphia, PA)
- …and financial implications. + Understanding and keeping current with FDA and Medicare regulations applicable to clinical trials. + Understanding interaction of ... Medicare regulations and/or third-party insurance to develop clinical trial budgets. + Preparing financial analyses, as necessary, and serving as a resource to… more
- Gentiva (Altoona, PA)
- …ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC)** We are seeking a dedicated Patient Care ... ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion for terminally ill… more
- Penn Medicine (Lancaster, PA)
- …30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. **PREFERRED QUALIFICATIONS:** + As outlined in unit based Plan for… more
- US Tech Solutions (Pittsburgh, PA)
- …with the provider and member regarding their prior authorization/ PBM/ Medicare . + Review and process prior authorization requests by collecting necessary ... Authorization + Inbound and outbound call + Customer support + Knowledge of Medicare and Medicaid + PBM **Experience:** + 1 year experience interacting with… more
- St. Luke's University Health Network (Easton, PA)
- …issuing applicable state/federal regulatory notices (for example: Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle ... Payment Care Initiative (BPCI) notification) as applicable. + Demonstrates team work and flexibility regarding assignments. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, walk on all surfaces for up to five hours a day, and climb… more
- Penn Medicine (East Petersburg, PA)
- …Previous phlebotomy experience + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid, or other federal or state health insurance programs + Excellent interpersonal skills + For Community Health: One 1… more
- Humana (Harrisburg, PA)
- …following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... Planning meetings. + Assists with providing clinical care and not limited to: urinary cauterization, tube feedings, applying/changing dressings, Accu-checks, medication management/administration, admission, transfer and discharge of guests/residents. + Ensures… more