- Prime Therapeutics (Harrisburg, PA)
- …understanding of healthcare-specific financial models, reimbursement systems, and payer -provider dynamics **Preferred Qualifications** + Master's degree in business ... (MBA) or health administration (MHA) or related area of study + People leadership experience + PBM experience Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- UPMC (York, PA)
- …required.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
- Select Medical (Philadelphia, PA)
- …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:** + Bilingual (Spanish) **Additional Data** _Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal-opportunity employer. Qualified applicants are… more
- Gentiva (Meadville, PA)
- …team meetings + Assist in referrals, resource connections, and compliance with payer requirements **About You** **What You'll Need:** + Active RN license in ... the state of employment + Minimum of 1 year RN experience (acute care, oncology, long-term care, hospice, or home health preferred) + CPR certification + Valid driver's license and current auto insurance + Reliable transportation **Preferred Skills and… more
- Select Medical (Lancaster, PA)
- …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:** + 1 Year Front Desk experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/338570/medical-front-office… more
- Datavant (Harrisburg, PA)
- …Ensure products are clinically relevant, user-centric, and integrated into existing payer and provider workflows through interoperability integrations. + Set and ... track KPIs for each product line, such as suspect accuracy, provider engagement, risk score impact, and concurrent coding capture and correction rates. + Establish and track KPIs that measure both risk adjustment performance and interoperability success (data… more
- Select Medical (Pittsburgh, PA)
- …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:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Select Medical (Apollo, PA)
- …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:** + 1 Year Front Desk 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
- Penn Medicine (Philadelphia, PA)
- …complete, accurate, and timely clinical and financial information required for payer reimbursement. + Provides education to patients and clinical practices regarding ... patient insurance coverage as it relates to their discharge medications. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system… more
- Select Medical (Apollo, PA)
- …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:** + 1 Year Front Desk 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