- WellSpan Health (Hanover, 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)
- …privileges at all satellite hospitals and maintain provider privileges (including Medicare UPIN #'s) for all accepted insurance products **Licensure, Certifications, ... and Clearances:** + Audiology State License in the practicing state. + Licensed Clinical Audiologist + Act 33/34/73 with renewal **UPMC is an Equal Opportunity Employer/Disability/Veteran** more
- CVS Health (Harrisburg, PA)
- …engaging on multiple platforms - Demonstrated understanding of insurance, Medicaid, Medicare billing requirements - Evidence of strong crisis intervention skills - ... Previous experience in a mental health clinic or hospital setting **Education** - Completed Master's degree program from an accredited College or University. - State License with one or more of the following licenses: Licensed Clinical Social Worker (LCSW),… more
- Penn State Health (Hershey, PA)
- …feedback regarding compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of ... Health (DOH), and to ensure compliance with all regulatory requirements from the aforementioned bodies. Shares information with process owners for purpose of review and correction if necessary and communicates (or coordinates the communication of clinical)… more
- UPMC (Pittsburgh, PA)
- …primarily be responsible for assisting patients with applying for Medicaid, Medicare , UPMC Financial Assistance, Energy Assistance Programs, setting patients up in ... shelters, assistance with housing applications, and tracking patients and following through with what they are being assisted with (and other duties as assigned) **Responsibilities:** + Tasks related to patient navigation include but are not limited to:… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …common goals. Demonstrated experience in value-based care models, including Medicare Advantage, ACOs, and risk-based contracting. Proficiency in financial analytics, ... decision support systems, and performance dashboards to drive transparency and accountability. The individual in this position will be required to perform their job in a manner that is consistent with the mission and values of the Health System, to ensure the… more
- St. Luke's University Health Network (Allentown, PA)
- …vendor to obtain wound care equipment for discharge. + Responds to Medicare appeal inquiries for processing. + Maintains concurrent communication with care managers ... to provide timely updates related to all discharges processes. + Acts as a liaison between insurance companies and care managers. + May be required to deliver medical equipment, if onsite at a campus, to the unit Care Manager. + Acts as a liaison for vendors… more
- UPMC (Pittsburgh, PA)
- …in medical terminology preferred. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers compensation carriers regarding ... scheduling and approval of surgical procedures. + General knowledge of computer software and practice management databases is required. + Knowledge of the Epic practice management programs preferred. Strong organization, time management and interpersonal… 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
- 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