- Datavant (Harrisburg, PA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- Intermountain Health (Harrisburg, PA)
- …aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines. 9. Acts as a subject matter resource to team and ... escalates to leadership as needed. Supports SCL and future acute care sites with Epic, downstream system, upgrades and new functionality. 10. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 11. Performs other… more
- Cardinal Health (Harrisburg, PA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification, and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- UPMC (Pittsburgh, PA)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Collaborate effectively with the healthcare team, patients and families and relevant community resources to develop and implement and individualized… more
- Cardinal Health (Harrisburg, PA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …( MCD ) , National Coverage Determination ( NCD ) as well as payer specific edits as outlined via contractual agreements particularly around coding matters and when ... other factors causing the edits are identified refers to proper person to ensure a clean claim is submitted. . Serve as an information rescource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert . . Submit… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …may be substituted for prior experience . Knowledge of third party payer contracting language and reimbursement terms. Knowledge of medical terminology, ICD10, CPT, ... and HCPC coding Familiar with multiple (widely used) healthcare patient accounting/billing systems. Proficiency with Excel, MS Office Suite, Internet Explorer, and Database Management application software. Ability to communicate in English, both written and… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …using Fiscal Intermediary Standard System. + Knowledge of third party payer contracting language and reimbursement terms. + Knowledge of medical terminology, ... ICD10, CPT, and HCPC coding. + Familiar with multiple (widely used) healthcare patient accounting/billing systems. + Proficiency with Excel, MS Office, Internet Explorer, and Database Management application software. Any other necessary computer skills that… more
- Guthrie (Sayre, PA)
- …Preferred experience with PCMH process, care management/utilization review, and payer knowledge. Fast paced ambulatory care experience preferred. Essential ... Functions: + Support Care Management functions in Primary Care Practices + a. Actively manages a panel of high‐risk patients using motivational interviewing, shared decision making, and goal setting to increase patient/family engagement. + b. Uses technology,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Test Driven Development and in Agile tools. * Experience in Healthcare Payer /Provider /Member - preferred. * Bachelor's Degree or equivalent experience. Your ... career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer… more