- Select Medical (Butler, 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 + Health Care Experience + 1 Year Front Desk experience **Preferred:** + 1 Year of Medical Office Experience + 1 Year of Scheduling Experience **Additional Data** _Equal Opportunity Employer/including… more
- CVS Health (Harrisburg, PA)
- …+ 3 to 5 years Industry experience in mental or behavioral health, payer , commercial, and Medicare + Proven ability to interact with, influence and collaborate ... with business leaders and producing managers at all levels + PMP certification + Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity **Education** + Bachelor's degree or equivalent professional work… more
- UPMC (Oakdale, PA)
- …plan of cares. Sending documentation to physician offices to meet compliance and payer requirements. + Diploma from an accredited school of nursing required. + BSN ... preferred. + 1 year previous specialized home health experience preferred. + 1 year clinical experience involving infusion therapy, including patient assessment skills, and venous access skills. + CPR certification required. PICC training preferred. +… more
- Evolent (Harrisburg, PA)
- …key performance indicators + Partner with Evolent Strategic Account teams and payer clients to align priorities and deliver high-quality provider network engagement, ... performance reporting, and present to health plans clients + Maintain detailed records of practice interactions, progress on transformation, initiatives, and market trends + Represent the organization at regional forums/clinical symposiums, conferences, and… 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:** + 1 Year of OP experience + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Highmark Health (Pittsburgh, PA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- Fujifilm (Harrisburg, PA)
- …for proper billing, coding, and collection under current commercial and federal payer rules for local environment. + Develops project summary documents such as ... workflow diagrams, site profile summaries, and Compiles data on specific functions, as required. + Manages client expectations to ensure customer satisfaction. This position can include both implementation as well as post go live follow up. + Identifies… more
- Cardinal Health (Harrisburg, PA)
- …entire network of participating health plans + Cultivate and maintain on-going payer relationships and Medicaid enrollments. + Adhere to cyclical renewal, retrieval, ... and updates per profile + Work closely with third party vendors to identify data needs and execute updates when required + Report results and outcomes of network status to management at regular intervals + Respond to third party/managed care requests in a… more
- UPMC (Pittsburgh, PA)
- …auditing, billing and compliance. + Knowledge of CMS and third-party payer coding, billing, and documentation compliance regulations preferred (MS-DRG, APR-DRG, APC, ... APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an academic medical center setting is preferred. +… more
- Highmark Health (Pittsburgh, PA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more