- NASCO (Harrisburg, PA)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- Highmark Health (Pittsburgh, PA)
- …drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for ... for timely review with the Director, Clinical Pharmacy. + Participate in Medicare Stars performance measures to drive contribution to excellence (5 Stars). +… more
- CSL Behring (King Of Prussia, PA)
- …reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees. **Main Responsibilities and ... marketing and sales objectives. + Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products. + Provide monthly… 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
- Organon & Co. (Plymouth Meeting, PA)
- …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. Serve as an expert on DRG hospital and provider… more
- CareGivers Home Care (Erie, PA)
- …supervisions, med setups for home care clients, skilled nursing visits, dressing changes, Medicare opens and visits as they become available. Pay rate is by visit, ... + Medicaid 1 hour assessments, medication box setups - Visit Rate: $37.00 + Medicare visit rate - Opening Skilled Cases $75/visit, $60 for all subsequent visits… more
- UPMC (Williamsburg, PA)
- …in a timely fashion. Take appropriate action with each call. + Enters Medicare Part A billing into UB billing software. Electronically transmits claims to Veritus ... experience with computer systems involving ICD 9/CP/HCPCS coding, CMS 1500, UB92s, Medicare Medicaid, Blue Shield products, and managed care programs on inpatient… more
- Aveanna Healthcare (PA)
- …active RN License in the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more
- Surgery Care Affiliates (Philadelphia, PA)
- …payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form. Financial Orientation: + Calculate ... over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare , Medicaid and other government contracts and guidelines and… more
- WellSpan Health (Ephrata, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more