- Humana (Harrisburg, PA)
- …plan of care from assessment findings in coordination with the beneficiary's physician and care team. + Coordinate, review, and approve medically necessary, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- UPMC (Pittsburgh, PA)
- …is responsible for the ongoing negotiation of the UPMC hospitals and physician contracts. The Payor Contracts Analyst - Intermediate is responsible for evaluating ... hospital or professional payment methodologies including a general understanding of Medicare and PA Medicaid reimbursement. + Working knowledge of Microsoft Excel… more
- Aveanna Healthcare (Waynesboro, PA)
- …an extension of therapy or nursing services. * Provide services that are ordered by the physician in the plan of care and that the aide is permitted to perform under ... Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- WellSpan Health (Lewisburg, PA)
- …conditions and develops individual care plans for patients. + Carries out physician orders such as administering prescribed medications or treatments, preparing an ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Ephrata, PA)
- …addresses patient concerns. + Under the direct supervision of the physician , administers intravenous contrast media. Recognizes complications (eg, contrast reaction) ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Lewisburg, PA)
- …billing problems and/or receives insurance updates. + May review physician orders for supporting documentation. **Common Expectations:** + Answers telephones, ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Cognizant (Harrisburg, PA)
- …is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9 ... with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare billing & payment and coverage guidelines and regulations + Experience… more
- Aveanna Healthcare (Norristown, PA)
- …at all times. Essential Job Functions: + Provide services that are ordered by the physician in the plan of care within the scope of practice per state law + ... leaves of absence, compensation and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Gentiva (Bala Cynwyd, PA)
- …patient may be appropriate for home health or hospice care; Medicare /Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing education ... + Must have a collaborative agreement in place with a supervising physician agreeable to supervise work in palliative care program or must agree… more
- WellSpan Health (Ephrata, PA)
- …to patients and other customers of the laboratory. + May review physician orders for supporting documentation. + Resolves billing problems and/or receives insurance ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more