- Merck (Harrisburg, PA)
- …stakeholders and their relative level of influence, referral dynamics, payer controls, patient demographics, specialty pharmacy activity, etc. + Understanding ... of access & insurance coverage processes in PAH, specifically those of payers most active in designated territory **Business Acumen:** + Ability to understand and define customer business models and infer strategic objectives + Ability to create account… more
- Select Medical (Hummelstown, PA)
- …Planning + CarePlanning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per ... sate guidelines in a clinical or related discipline OR a Bachelor's or Master's in health or human services discipline. **Previous Experience** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
- Robert Half Accountemps (Mars, PA)
- …management review. Customer and Client Communication: Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and ... clarity. Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues. Compliance: Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and… more
- LifePoint Health (Johnstown, PA)
- …and automated insurance verification tools. Knowledge of third-party payer regulations and requirements. CPR **Job:** **Administration/Clerical* **Organization:** ** ... **Title:** *Registration Specialist - Pain and Neurology Outpatient Clinic* **Location:** *Pennsylvania-Johnstown* **Requisition ID:** *7479-9925* more
- LifePoint Health (Johnstown, PA)
- …and automated insurance verification tools. Knowledge of third party payer regulations and requirements. Knowledge of medical terminology. **Job:** ... **Administration/Clerical* **Organization:** ** **Title:** *Radiology Receptionist * **Location:** *Pennsylvania-Johnstown* **Requisition ID:** *7479-10000* more
- LifePoint Health (Johnstown, PA)
- …Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that payer requirements are met and develop an individualized plan of care for ... our patients. The Case Management staff coordinates with the interdisciplinary team and community resources to maximize the patient's opportunity to succeed. This opportunity provides a great team culture and offers work/life balance.** *How you'll contribute*… more
- LifePoint Health (Johnstown, PA)
- …Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that payer requirements are met and develop an individualized plan of care for ... our patients. The Case Management staff coordinates with the interdisciplinary team and community resources to maximize the patient's opportunity to succeed.** *Your experience matters* At Conemaugh Memorial Medical Center we are driven by a profound… more
- Guthrie (Sayre, PA)
- …pharmacist. 2) Processes prescriptions via computer system, and reviews third‐party payer on‐line adjudication. 3) Receive requests from patients via phone, e‐mail, ... fax, in‐person, and other means 4) Assists in performing inventory functions including stock replenishment and removing expired/recalled medications medications from the pharmacy shelves. 5) Handles questions pertaining to the operations of the pharmacy that… more
- Select Medical (Seneca, PA)
- …and business development team + Collect co-pays from patients,manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + Previous Therapy Experience + Healthcare experience **Additional Data** _Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal-opportunity employer.… more
- UPMC (Carlisle, PA)
- …KNOWLEDGE AND SKILLS: Must possess knowledge in navigating communications with payer sources and programs. Possess knowledge and understanding of regulatory ... guidelines. Must be skilled in planning/organization, follow up/control, delegation. Problem solving, self-development, organizational behaviors/competencies. Must be able to read, understand, analyze, and interpret medical record documents. Must possess the… more