- US Physical Therapy (York, PA)
- …outpatient orthopedic clinic experience + Exercise and Manual based skills, Medicare compliance responsibilities and Sports Rehab + Outgoing and energetic ... personality **Additional Information** + Great hourly compensation + 401k + Multiple opportunities for Professional Development, Specialization, and Leadership + Family-Friendly Work Environment + Investment from a company that wants you to succeed We are… 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
- 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
- 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
- Cognizant (Harrisburg, PA)
- …UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able ... to work with minimal supervision. + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability… more
- UPMC (Wexford, 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
- 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 (Pittsburgh, PA)
- …UPMC Health Plan. A general understanding of Health care insurance and Medicare managed care is highly preferred for this position, **Responsibilities:** + Develop ... and maintain collaborative relationships with assigned providers/practices within the UPMC Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. + Assess… 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