- WellSpan Health (Lebanon, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance /managed care processes related to pre-certifications and authorizations and completes ... processes / standard work related to the coordination of care of Behavioral health patients. + Maintains an awareness of community resources and provides this… more
- WellSpan Health (York, PA)
- …to ensure accurate documentation of the patient's medical treatment. + Adheres to Health Insurance Portability and Accountability Act (HIPAA) of 1996. + ... to determine appropriate avenue for care of patients. Functions as a member of the health care team at an intermediate nursing level to assist in the planning and… more
- St. Luke's University Health Network (Quakertown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Aide Home Health and...maintain a good driving record accepted by the Network insurance carrier; Must have and maintain motor vehicle … more
- St. Luke's University Health Network (Bethlehem, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Aide Home Health and...maintain a good driving record accepted by the Network insurance carrier; Must have and maintain motor vehicle … more
- WellSpan Health (Lewisburg, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance /managed care processes related to pre-certifications and authorizations and completes ... processes / standard work related to the coordination of care of Behavioral health patients. + Maintains an awareness of community resources and provides this… more
- BAYADA Home Health Care (Wyomissing, PA)
- …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct ... BAYADA Home Health Care has an immediate opening for a...management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Associates will… more
- Highmark Health (Pittsburgh, PA)
- …managing vendor relationships for health -related services * Experience analyzing Medicare Advantage insurance product financial performance * Experience with ... of the ideal candidate experience: * Strong knowledge of Medicare Advantage and D-SNP insurance products *...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- ABBTECH Professional Resources, Inc. (Harrisburg, PA)
- …working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance /heath care experience * * Experience working with data and ... requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst… more
- Humana (Harrisburg, PA)
- …team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate ... TN area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2...Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry +… more
- Humana (Harrisburg, PA)
- …us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more