- UPMC (Pittsburgh, PA)
- …clinical coding edits. Your insights will help us ensure compliance with Medicare , Medicaid, and other payor requirements while identifying opportunities for cost ... savings. Here's what your day-to-day will look like: + Turn data into decisions: Use your expertise in SQL and BI tools like Power BI and Tableau to create dashboards and actionable insights + Collaborate across teams: Partner with Claims Operations, Medical… more
- Genesis Healthcare (Moon Township, PA)
- …care experience and one year of management experience. 7. A thorough knowledge of Medicare and third party billing is also required. Posted Salary Range USD $44.00 - ... USD $50.00 /Hr. Genesis HealthCare, Inc. and all affiliated entities (collectively "Genesis") has a strong commitment to diversity that is fully supported and practiced by our officers and leadership team. Genesis provides equal employment opportunities to all… more
- WellSpan Health (Gettysburg, 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
- County of Northampton (Nazareth, PA)
- …Confers with wound consultant and wound suppliers to review care, protocols and Medicare coverage (monthly). Assists with input of treatment team staff annual and ... probationary evaluations. Assists with and cover Infection Control Coordinator as needed, including testing and reporting. Assists with other projects as assigned. Processes forms and miscellaneous documents as necessary. *An employee assigned to this title… more
- Penn Medicine (Lancaster, PA)
- …of an Accredited Family Medicine Residency. + Must be in good standing with Medicare , Medicaid, and other federal and state health insurance programs. Benefits at a ... Glance: + Tuition Assistance for employee and dependents at the University of Pennsylvania + Paid Time Off and Paid Holidays + CME Allowance (Time and Funds) + Health, Dental and Vision Coverage + Short-Term and Long-Term Disability + Retirement Savings… more
- UPMC (Pittsburgh, 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
- 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
- UPMC (Pittsburgh, PA)
- …hospital safety survey + 4-star quality hospital, as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of Excellence ... award recipient by the American College of Cardiology. + UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians + Over 40 academic, community and specialty hospitals + Over 800 doctors' offices 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
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one ... of only 38 hospitals nationwide to achieve this rating. **About South Central Pennsylvania** : + Resilient and diverse economy driven by growth in manufacturing, sciences, agriculture, and technology + Features both rural and suburban living with abundant… more