- Highmark Health (Harrisburg, PA)
- …and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work with five years' experience ... in Acute or Managed Care/ experience with Medicaid or Medicare populations **Preferred** + Experience working with high-risk pregnant women OR experience working… more
- UPMC (Pittsburgh, PA)
- …exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare department. This is a full time position working Monday through Friday ... AHA coding clinics and government submission criteria. + Knowledge of Medicare and Affordable Care Act RADV audits, protocols, guidelines, record submission,… 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 (Strasburg, 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 (Willow Street, 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
- Select Medical (Camp Hill, PA)
- …into the clearinghouse database. + For Commercial accounts, compares HMS to Insurance Contract Requirement for accuracy utilizing all contract tools at admission, ... discharge and set intervals for in-house accounts. + For Medicare accounts, bills Medicare Secondary Payor (MSP)...Policy. + Verifies, utilizing website and/or phone, that the insurance company is in receipt of the bill no… more
- Penn Medicine (Lancaster, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid or any ... include but are not limited to scheduling, patient registration and insurance validation, order entry, and administrative support. Customer Service Representatives… 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
- Cardinal Health (Harrisburg, PA)
- …with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and ... timely access to necessary services + Assist in obtaining insurance , prior authorization, and appeal requirements and outcomes + Help patients understand their … more
- Option Care Health (Audubon, PA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...vehicle, a valid driver's license and a proof of insurance would be required. + Experience applying knowledge of… more