- Humana (Harrisburg, PA)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Harrisburg, PA)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand… more
- Select Medical (Pittsburgh, PA)
- …Lead Conversion Call with Business Development team each morning. + Verify Medicare benefits and secondary/supplemental insurance plans of all referred patients ... + Extensive onboarding & training program + Customizable Health Insurance Packages + Unlimited Employee Referral Bonus Program **Who... verification and knowledge of how benefits under the Medicare program are applied. + Previous experience as a… more
- University of Pennsylvania (Philadelphia, PA)
- …Medicare regulations applicable to clinical trials. + Understanding interaction of Medicare regulations and/or third-party insurance to develop clinical trial ... Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family's health and welfare.… more
- Humana (Harrisburg, PA)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Harrisburg, PA)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance... Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers… more
- UPMC (Lititz, PA)
- …scheduling experience. + Proficiency in medical terminology preferred. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and ... schedulers. + Send/receive patient medical records in accordance with Health Insurance . + Obtain lab/x-ray reports, hospital notes, referral information, etc. +… more
- UPMC (Erie, PA)
- …+ Work independently and possess sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers ... This position primarily focuses on scheduling NIR procedures and securing insurance authorizations, while also supporting daily operations through phone coverage,… more
- UPMC (Pittsburgh, PA)
- …medical terminology are required, including an understanding of Blue Cross, Medicare , Medical Assistance and commercial insurance coverage for hospitalization ... will be primarily responsible for answering phone calls, scheduling appointments, insurance authorizations, and other office work as assigned. This position has… more
- UPMC (Hermitage, PA)
- …+ Work independently and possess sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers ... and forward all necessary admission reservations/requisitions, including demographics and insurance information to hospitals. + Coordinate cases and communicates… more
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