- Select Medical (Erie, 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:** + 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
- Select Medical (Canonsburg, 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 + 1 Year Front Desk experience **Preferred:** + 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
- Highmark Health (Pittsburgh, PA)
- …payments. Prepares and deposits payments received. (25%) + Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes ... office, hospital, and outpatient charges). (20%) + Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%) + Obtains and enters patient demographic,… more
- UPMC (Pittsburgh, PA)
- …auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding, billing, and documentation compliance regulations required (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 strongly… more
- Sumitomo Pharma (Harrisburg, PA)
- …design direction for patient support programs + Experience in reimbursement and payer pull through + Experience implementing distribution channels and managing Sales ... Operations and distributor operations for cell & gene therapy products. + Experience managing multiple patient service/reimbursement/co-pay vendors + Recent rare disease product launch experience desired + Strong track record of cross functional leadership +… more
- Evolent (Harrisburg, PA)
- …5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care, or related healthcare consulting entity + ... Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes,… more
- Highmark Health (Harrisburg, PA)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- St. Luke's University Health Network (Allentown, PA)
- …knowledge of reimbursement systems; extensive knowledge of federal, state, and payer -specific regulations and policies pertaining to documentation, coding and, as ... needed, medical necessity. Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the… more
- Evolent (Harrisburg, PA)
- …opportunity sizing. **Healthcare Industry Experience:** Familiarity with clinical workflows, payer operations, or healthcare AI applications is preferred. **Why Join ... Us?** Opportunity to drive impactful AI initiatives in a rapidly evolving industry. Collaborative environment with cross-functional teams, including data science, engineering, and operations. Competitive compensation, benefits, and opportunities for… more
- Highmark Health (Harrisburg, 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