- UPMC (Pittsburgh, PA)
- …of HMO, POS and PPO plans, coordination of benefits, subrogation and Medicare . + Excellent organizational, interpersonal and communication skills. Competent in MS ... Office/PC skills. + Detail Oriented. **Licensure, Certifications, and Clearances:** **UPMC is an Equal Opportunity Employer/Disability/Veteran** more
- Humana (Harrisburg, PA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Travelers Insurance Company (Pittsburgh, PA)
- …also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and offsets. + Communicate and apprise all parties regarding ... claim status which may include our business customers, injured employees, medical providers, and legal counsel. + Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers… more
- WellSpan Health (Lewisburg, 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
- UPMC (Erie, PA)
- …sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers compensation carriers regarding ... scheduling and approval of surgical procedures. + Ability to prioritize work demands. + Ability to consistently maintain confidentiality with regards to all job assignments and related information. + Access to medications is limited to the distribution of the… more
- WellSpan Health (York, 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
- UPMC (Pittsburgh, PA)
- …medical terminology are required, including an understanding of Blue Cross, Medicare , Medical Assistance and commercial insurance coverage for hospitalization and ... outpatient service. + Excellent written and verbal communication skills are required. + Experience in guest relations is preferred. Experience with computer-based systems preferred. Must function well under stressful conditions. Licensure, Certifications, and… more
- WellSpan Health (Lebanon, 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
- Fresenius Medical Center (Pittston, PA)
- …diploma or GED required. + Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within the required ... state or CMS timeline. + All appropriate state licensure, education, and training (if any) required. + Demonstrated commitment to organizational mission, culture, core values, and customer service standards. **EXPERIENCE AND REQUIRED** **SKILLS** **:** +… more
- Aveanna Healthcare (Bensalem, PA)
- …change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more