- GlaxoSmithKline (Collegeville, PA)
- …level of the role. Available benefits include health care and other insurance benefits (for employee and family), retirement benefits, paid holidays, vacation, and ... Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/… more
- ACG Cares (Hollidaysburg, PA)
- …ensuring accuracy, timeliness, and compliance with reimbursement regulations, including Medicare and Medicaid. Collaborate with department heads to evaluate ... and Ethics Committee. Serve as liaison with banks, investment managers, auditors, insurance providers, and other financial partners. All other duties as assigned… more
- Cardinal Health (Harrisburg, PA)
- …associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of ... share updates, and reinforce policies and procedures. + Ensures adherence to Medicare and insurance medical policies for CGM and other product lines (eg, ostomy,… more
- WTW (Philadelphia, PA)
- …BD&O. Candidates must have a strong contracting background. Knowledge of ERISA, state insurance laws, Medicare , and/or experience in the employee benefits or ... prior in-house experience a plus but not required. + Employee benefits, Medicare , health insurance , ERISA and/or regulatory background preferred. + Strong… more
- UPMC (Pittsburgh, PA)
- …needs through other sources, including services provided under Medical Assistance , Medicare or private insurance and other community resources. + Actively ... individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. As a Service Coordinator you will provide service coordination… more
- Adecco US, Inc. (Philadelphia, PA)
- …years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy) + Knowledge of Medicare & commercial insurance + Strong communication, customer service, and ... fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution… more
- UPMC (Pittsburgh, PA)
- …identified needs through other sources, including services provided under Medical Assistance, Medicare or private insurance , and other community resources. + ... individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
- Fresenius Medical Center (Palmyra, PA)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
- BrightSpring Health Services (Camp Hill, PA)
- …comprehensive clinical assessments to determine eligibility for hospice based on Medicare / insurance guidelines + Coordinate the start of services (nursing, ... and timely documentation Benefits and Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)… more
