- 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
- Humana (Harrisburg, PA)
- …+ Accounting/Finance knowledge/experience + Advanced SQL or similar + Medicare /Medicaid experience + Data architecture/solution architecture experience + Project ... with Service Ops (claims, B&E, etc. **Preferred Qualifications** + Health insurance operations expertise + Value based provider arrangement experience + Certified… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability | Remote **PRIMARY PURPOSE** : To analyze complex or ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Robert Half Finance & Accounting (Carlisle, PA)
- …plays a critical role in optimizing billing, coding, claims processing, insurance verification, and collections to ensure compliance and maximize reimbursement. The ... efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid, Medicare , managed care, commercial payers, and sliding fee programs. * Establish… more
- Genesis Healthcare (PA)
- …to improve outcomes, enhance care coordination, and drive success in the Medicare Shared Savings Program. We help long-term care providers deliver high quality, ... ACO contracted primary care groups to optimize their success in LTC ACO's Medicare Shared Saving Program. The Partner Engagement Manager's top priorities are to… more
- Humana (Harrisburg, PA)
- …at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are ... + **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and market… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the… more