- Surgery Care Affiliates (Philadelphia, PA)
- …for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or ... guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid… more
- Select Medical (Camp Hill, PA)
- **Overview** **Patient Billing Representative ** Pay starting at $17.00/hr **What do you get working for Select Medical?** + Career Advancement opportunities when ... you able to prioritize tasks and manage competing deadlines? The Patient Billing Representative , Level 1 is responsible for the daily billing process to ensure that… more
- Cardinal Health (Harrisburg, PA)
- …the right things done. **The Accounts Receivable Specialist 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
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner ... to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases +… more
- Fresenius Medical Center (Carlisle, 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
- CenterWell (Harrisburg, PA)
- …ability to read, write, and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of ... caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic… more
- Highmark Health (Harrisburg, PA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …with responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of ... understanding of dealing with and processing Florida Medicaid and Medicare ; + Possess a strong sense of patient advocacy,...experience; + Faculty member will commit to being a representative of LECOM by being actively involved in the… more