• Clinical Reviewer, Nurse

    Evolent (Harrisburg, PA)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Field Medical Director, Oncology

    Evolent (Harrisburg, PA)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Registered Nurse RN Heart Failure Telemetry Unit…

    Penn Medicine (Lancaster, PA)
    …30 days of hire. + 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. + As outlined in unit based Plan for Provision of Care. We believe that… more
    Penn Medicine (08/19/25)
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  • Claims Review Analyst

    WellSpan Health (York, PA)
    …and institutes appropriate courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for Medicare ... + Interacts with providers, managers, and staff in departments to ensure correct coding of claims. + Maintains current knowledge of payer/insurance policies, rules and regulations, including state and federal guidelines. + Demonstrates initiative and… more
    WellSpan Health (08/19/25)
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  • Clinical Reviewer, Nurse-Surgery

    Evolent (Harrisburg, PA)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Operations Specialist / Administrative Assistant

    Aveanna Healthcare (Exton, PA)
    …time with or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in ... 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
    Aveanna Healthcare (08/17/25)
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  • CBO - Inpatient Central Business Office Trainer

    Select Medical (Camp Hill, PA)
    …+ Notifies and educates staff concerning new findings, problems, changes with Medicare and other insurance carrier billing/collecting, as well as, any changes with ... Change Healthcare** products and others. Common Terms/Definitions (including a Medicare 101 class), MedHost, OnBase, contracts, Change Healthcare (Clearance and… more
    Select Medical (08/16/25)
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  • Encounter Data Management Professional

    Humana (Harrisburg, PA)
    …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid, and DSNP encounter processes and policies. + Working ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/16/25)
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  • Patient Access Representative (Per Diem)

    St. Luke's University Health Network (Hamburg, PA)
    …+ Responsible for completing government forms including Important Message from Medicare , and Medicare Outpatient Observation Notice signature processes on ... inpatient clinical units (campus entities). + Responsible to collect all loose clinical paper documentation. Analyze, sort and batch scan to Health Information Services twice daily (campus entities) PHYSICAL AND SENSORY REQUIREMENTS: Sitting/standing up to 8… more
    St. Luke's University Health Network (08/16/25)
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  • Admissions Coordinator

    Select Medical (Harrisburg, PA)
    …Lead Conversion Call with Business Development team each morning. + Verify Medicare benefits and secondary/supplemental insurance plans of all referred patients as ... third party insurance verification and knowledge of how benefits under the Medicare program are applied. + Previous experience as a customer service representative… more
    Select Medical (08/16/25)
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