- UPMC (Harrisburg, PA)
- …+ Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. + Identify root cause ... and medical terminology is preferred. + Familiarity with third party payer guidelines and reimbursement practices and available financial resources for payment… 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 ... concerns in a timely manner + Mediate effective resolution for complex payer /pharmacy issues toward a positive outcome + Proactive follow-up with various contacts… more
- CenterWell (Harrisburg, PA)
- …leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research. ... + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make an impact** **Required Qualifications:** + A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) +… more
- St. Luke's University Health Network (Allentown, PA)
- …accounts, as well as to ensure compliance with all Federal, state, insurance payer and St. Luke's Network policies. + Analyzes denied claims and investigates the ... maximum reimbursement. + Statuses claims resolution, appeals and corrected claims via payer websites when possible. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to… more
- UPMC (Pittsburgh, PA)
- …for closing accounts. Responsible for account balances according to their respective payer when applicable, and for timely and accurate billing in accordance with ... + Verify accuracy of payment posting and reimbursement. Work with appropriate payer and/or department to resolve any payment discrepancies. + Ability to understand… more
- UPMC (Pittsburgh, PA)
- …insurance information to insure clean claims processing. + Keep abreast of third-party payer updates and changes as to how it would affect charge entry, notifying ... denials. + Coordinates the flow of communication regarding any third-party payer updates and/or changes between other Billing Specialists, Supervisor, Physician… 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 ... a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to work any schedule between… 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 ... regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range… more
- Sanofi Group (Swiftwater, PA)
- …Access, and Strategic Pricing. + Deliver financial insights on GTN programs, payer mix, product launches, and contract structures to support strategic decisions. + ... Evaluate financial impact of pricing strategies, market access programs, and payer negotiations. + Align sales, collections, and rebate forecasts with cash flow… 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 ... service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + Knowledge of Diagnostic… more