- 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 ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Harrisburg, PA)
- …+ Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship program ... part of our caring community and help us put health first** Humana is seeking MBA Interns to join...teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it… more
- WellSpan Health (Chambersburg, PA)
- …Serves as the initial contact for patient access. Responsible for insurance verification, scheduling, registration and authorizations of patients' studies. Essential ... certifications/licensures, as required. 5. Completes hospital-required reviews, eg HIPAA, safety, health screening, care concerns, and others as assigned. 6. Adheres… more
- Penn State Health (Hershey, PA)
- … billing experience + Follow up background Medicare / Medicare HMO Hospital Insurance billing experience **WHY PENN STATE HEALTH ?** Penn State Health ... **Penn State Health ** - **Penn State Health Corporation**...equivalent required. **PREFERRED QUALIFICATION(S):** + Banking and/or Revenue Cycle Insurance . + Follow up background Medicaid Hospital Insurance… more
- Cognizant (Harrisburg, PA)
- …eligibility verification, and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with ... experience with sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). * Strong understanding of… more
- Elevance Health (Harrisburg, PA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Work Hours: ... is a proud member of Elevance Health 's family of brands. We administer...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Cognizant (Harrisburg, PA)
- …eligibility verification, and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with ... experience with sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). . Strong understanding of… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating and… more
- St. Luke's University Health Network (Easton, 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 Care Management Resident assists the Care...and durable medical equipment providers. + Assists in obtaining insurance authorizations and bed search for post-acute care facilities… more
- Geisinger (Kingston, PA)
- …clinical role to collaborate with patients, Primary Care Providers, community agencies, behavioral health , and other health plan departments to provide a model ... of care to maximize member's health status. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of… more