• Field Reimbursement Manager

    Adecco US, Inc. (Philadelphia, PA)
    …but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician 's office or clinics. * Must have Medicare and commercial ... readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights… more
    Adecco US, Inc. (07/26/25)
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  • Field Reimbursement Manager, Noth Central Region

    CSL Behring (King Of Prussia, PA)
    …reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees. **Main Responsibilities and ... Accountabilities:** + Work with payers, specialty pharmacies, physicians, physician support staff, and professional societies to secure adequate reimbursement of CSL… more
    CSL Behring (06/11/25)
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  • Senior Specialist of Contract and Reimbursement…

    Organon & Co. (Plymouth Meeting, PA)
    …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... coding knowledge across different settings of care, ensuring accurate and efficient physician billing. + **Reimbursement Expertise:** Serve as an expert in facility… more
    Organon & Co. (06/07/25)
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  • RN Case Manager Inpatient, Allegheny General

    Highmark Health (Pittsburgh, PA)
    …unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with ... the patient, family, physician (s), and other members of the interdisciplinary team. +...discharge plan while incorporating input from the patient, family, physician (s), and other members of the interdisciplinary team. +… more
    Highmark Health (08/16/25)
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  • Contract Negotiator III

    Centene Corporation (Harrisburg, PA)
    …a fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician , hospital and ancillary service providers to sign network participation ... for a region and set of providers + Lead assigned recruitments (ie, physician , hospital and ancillary) and ensure they result in complete and accurate standard… more
    Centene Corporation (08/16/25)
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  • Coordinator, Individualized Care

    Cardinal Health (Harrisburg, PA)
    …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Have the ability to ... obtain missing information + Mail out appropriate documents to physician offices + Interact with the patient referral sources...work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
    Cardinal Health (08/14/25)
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  • Scheduling Coordinator - OP Cardiology (UPMC…

    UPMC (Pittsburgh, PA)
    …absence of department secretaries. + Courteously respond and follow up with physician request in scheduling. + Provide statistical data to physicians when requested. ... and other office support. + Assure phone contact with patients and referring physician /office regarding essential follow up in a timely and professional manner. +… more
    UPMC (08/13/25)
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  • Emergency Dept Care Manager Registered Nurse…

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …The ER Care manager will function as a liaison between attending physicians, Physician Advisors, local CCRCs, SNFs, PCFs, patients, families and community. The role ... of patient care needs. The ER Care Manager will assist in identifying physician and staff documentation opportunities to support Quality and Pay for Performance… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Scheduling Coordinator, Neurosurgery

    UPMC (Pittsburgh, PA)
    …absence of department secretaries. + Courteously respond and follow up with physician request in scheduling. + Provide statistical data to physicians when requested. ... and other office support. + Assure phone contact with patients and referring physician /office regarding essential follow up in a timely and professional manner. +… more
    UPMC (08/09/25)
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  • HealthWorks Float Pool - Advanced Practice…

    Penn Medicine (Lititz, PA)
    …Lancaster General HealthWorks is searching for a full-time Nurse Practitioner OR Physician Assistant to join our team. This position will float to HealthWorks ... candidates can apply online or reach out to Jaci Fisher, Physician Recruiter at ###@pennmedicine.upenn.edu with CV for more information. **Minimum Qualifications:**… more
    Penn Medicine (08/07/25)
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