- Humana (Harrisburg, PA)
- …to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Aveanna Healthcare (Butler, PA)
- …leaves of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Trinity Health (Newtown, PA)
- …medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare ... Questionnaire and obtains information from the patient if third party payers need to be billed (ie worker's compensation, motor vehicle accidents and any other applicable payer). + Maintains operational knowledge of regulatory requirements and guidelines as… more
- Humana (Harrisburg, PA)
- …are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CVS Health (Blue Bell, PA)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... with others to meet/exceed expectations **Preferred Qualifications** + Experience in Medicare Advantage and/or Value Based Contracting + Ability to remain flexible… more
- CVS Health (Harrisburg, PA)
- …medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated ... health platform to support the delivery of high quality care to the Medicare population. As a Senior Product Manager within the Patient Experience and Service… more
- Aveanna Healthcare (Paoli, 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 ... for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Penn Medicine (Lancaster, PA)
- …hire into the position. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded ... from participation in Medicare , Medicaid or any other federal or state health insurance program. **PHYSICAL ENVIRONMENT** **WORKING CONDITIONS:** Position involves… more
- Adecco US, Inc. (Pittsburgh, PA)
- …and can meet productivity goals **What You'll Be Doing:** Process ** Medicare member enrollments** and requests Follow **federal CMS guidelines** (Yes, accuracy ... a team making a real difference in members' lives by keeping their Medicare coverage running smoothly. Your work will directly support compliance and timely service.… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …all department work queues. + Responsible for completing Important Message from Medicare , and Medicare Outpatient Observation Notice signature processes. + ... Responsible to collect all loose clinical paper documentation. Analyze, sort and batch scan to Health Information Services twice daily. + Complete all required annual competencies including E-Learning assignments on or before due date. CULTURE OF EXCELLENCE… more