- Humana (Harrisburg, PA)
- …expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims ... technical skills, especially SQL, VBA, and Databricks/Python + Individual Medicare Advantage experience + Knowledgeable on ESRD population **Additional Information**… more
- Deloitte (Pittsburgh, PA)
- …+ 2+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 1+ year(s) of experience with Medicaid managed care ... individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or ...including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The… more
- BAYADA Home Health Care (Blue Bell, PA)
- …full-time **Registered Nurse** to become one of our next **Clinical Managers** in our Medicare certified home health office in **Blue Bell, PA.** As one of the ... 2 years of nursing experience (med/surge, acute, ER, etc ) + Recent Medicare Certified Home Health Care experience. + Comprehensive knowledge of the Medicare… more
- AON (Fort Washington, PA)
- Program Manager III- Account Management - AICPA Life and Disability Insurance Trusts In this role, the Program Manager III will play a pivotal role in managing Aon's ... Certified Public Accountants (AICPA) and steering the strategic direction of the AICPA Insurance Trusts (Trusts). The ideal candidate will serve as a key advisor and… more
- Penn Medicine (Columbia, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid or any ... Position Summary: Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable… more
- Penn Medicine (Lititz, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid or any ... Summary: + Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening,… 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 ... Maintains a high degree of accuracy in the collection of demographic and insurance information. 14. Strives to avoid creating duplicate medical record numbers. 15.… more
- Penn Medicine (King Of Prussia, PA)
- …as assigned. Duties include (but are not limited to) patient registration, insurance verification, benefits' checks, providing insurance coverage information to ... among patients, referral sources, and PHIT clinicians, completion of required insurance & home infusion documents, incorporating new and changing insurance… more
- Gentiva (Bala Cynwyd, PA)
- …communicate by phone and in the field, coordinating services, verifying insurance , and ensuring documentation compliance-all while supporting the mission to provide ... staff to ensure a seamless admission experience. + Obtain and verify insurance information, complete payer source verification, and assist billing staff to ensure… more
- Sedgwick (Harrisburg, PA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more