- Select Medical (Canonsburg, PA)
- **Overview** **Secondary to Medicare Account Representative ** **Location:** Canonsburg, PA | **Company:** Select Medical / NovaCare Rehabilitation Are you ... operations? Select Medical / NovaCare Rehabilitation is hiring a Secondary to Medicare Account Representative to join our dynamic and fast-paced Outpatient… more
- Humana (Harrisburg, PA)
- …community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with claims adjudication to ... up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services)… more
- Elevance Health (Harrisburg, PA)
- **SCA Provider Enrollment Representative I** **Location:** This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- Cardinal Health (Harrisburg, PA)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- Cardinal Health (Harrisburg, PA)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to...or third party policy. + Updates patient files for insurance information, Medicare status, and other changes… more
- Evolent (Harrisburg, PA)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... and verbalize processes and procedures of the organization and of health insurance coverage. + Training includes a virtual classroom environment with trainers who… more
- Fresenius Medical Center (Wyomissing, 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
- UPMC (Pittsburgh, PA)
- …customer service experience or call center experience required. OR1 year health insurance call center and claims adjustments experience required. + Keyboard ... **Purpose:** The Provider Service representative acts as an advocate for Health Plan...of Public Welfare (DPW) laws and standards, Department of Insurance (DOI) laws and standards, Department of Health (DOH)… more
- AbbVie (Pittsburgh, PA)
- …order to educate providers on payer issues, coding changes, and appropriate claims submission processes + Liaise with AbbVie's Access and Reimbursement support ... care + Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of drug acquisition and dispensing… more