- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... team has the responsibility of resolving outstanding insurance claims...for casual work attire, jeans are our norm! The Medicare Exhaust Specialistsupports the accounts of patients who have… more
- Humana (Harrisburg, PA)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- The Cigna Group (Philadelphia, PA)
- …allowing for and assisting with definition and development of future opportunities for the Medicare team . The ideal candidate will be able to master complex and ... a high-energy, positive individual to join our Regulated Markets team . The leadership and strategic direction you'll provide will...and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role will be to ... sound, unbiased recommendations on these matters. **Leadership:** + Manage personal and team resources efficiently to complete projects. + Exhibit innovative use of… more
- Adecco US, Inc. (Monroeville, PA)
- …and Thursday** . **Required Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred). + Strong computer skills, ... and other billing regulations. + Audit processes and ensure documentation meets regulatory standards. + Foster a culture of...+ Set and support individual performance goals within the team . Benefit offerings include medical , dental, vision,… more
- Penn Medicine (Philadelphia, PA)
- …staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification to reflect truth in diagnostic ... responsible for supporting an organization-wide system for improving clinical documentation in the medical record by prompting...audit clarity and full reflection of severity in care team documentation w consideration of CMS coding… more
- Penn State Health (Lancaster, PA)
- …rules of Medicare , Medicaid, and commercial payers preferred. + Electronic medical record and chart review experience preferred. + CCS and/or CCDS preferred. ... Work with program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Educate members of… more
- Fresenius Medical Center (Harrisburg, PA)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Humana (Harrisburg, PA)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Humana (Harrisburg, PA)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
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