- 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. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- WellSpan Health (Chambersburg, PA)
- …to Medical terminology within 180 days Required and + Insurance and Compliance Training within 1 year Required **Knowledge, Skills, and Abilities:** + Excellent ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Fresenius Medical Center (Swarthmore, PA)
- …licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. ... School diploma or GED required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within the required… 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. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- WellSpan Health (Ephrata, PA)
- …sheets, progress notes, and/or electronic medical record for documentation. Validates compliance with system and unit-specific clinical initiatives, ie pain scores, ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Cardinal Health (Harrisburg, PA)
- …knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA and all relevant federal/state billing regulations. + Flag ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- Cardinal Health (Harrisburg, PA)
- …coding, posting and front office teams to resolve account issues + Ensure compliance with HIPAA and all relevant federal/state payor regulations. + Flag trends or ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- CVS Health (Harrisburg, PA)
- …clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates ... (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, discharge planning, and/or home… more
- WellSpan Health (Lewisburg, PA)
- …sheets, progress notes, and/or electronic medical record for documentation. Validates compliance with system and unit-specific clinical initiatives, ie pain scores, ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Highmark Health (Pittsburgh, PA)
- …unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with ... the patient, family, physician(s), and other members of the interdisciplinary team. + Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients. + Develops and implements an effective discharge plan while… more