- Humana (Harrisburg, PA)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Heritage Ministries (Conneautville, PA)
- …pre-admission notes and face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage as well as benefits ... insurances. (Admissions will obtain pre-authorization for primary insurances other than Medicare ). Obtains copies of the resident's insurance cards, POA or… more
- Humana (Harrisburg, PA)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- WellSpan Health (York, PA)
- …entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental ... for net revenue projections. + Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company general ledger and… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …coding (https://www.aapc.com/certification/medical-coding-certification.aspx) guidelines and regulations including compliance and reimbursement - allowing a CRC ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- Humana (Harrisburg, PA)
- …The Senior Agency Management Professional supports data analysis related to compliance and commissions for Humana's external producers. The role involves handling ... provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Agency Management… more
- Humana (Harrisburg, PA)
- …submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the ... encounter acceptance rate by Medicaid/ Medicare . Looks for long term improvements of encounter submission...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Robert Half Accountemps (Doylestown, PA)
- …this long-term contract position, you will play a vital role in managing Medicare billing, insurance claims, and patient accounts to ensure the financial stability ... commitment to resolving accounts efficiently and accurately. Responsibilities: * Manage Medicare billing operations, ensuring all patient accounts are handled with… more
- Humana (Harrisburg, PA)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Harrisburg, PA)
- …to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and Abuse in ... a group of seasoned professionals. + Proven knowledge in Medicare regulations + Excellent PC skills MS Excel and...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more