- Select Medical (Camp Hill, PA)
- …manner. + Ensure proper billing & printing requirements are set up at the payer level. + Assist with month-end processing - including scrub reports in the days ... leading up to month end and complete month end processes the 3rd business day of each month. + Recognize and/or act upon billing issues inferred from reported data, management, or daily operations; and provide feedback to the appropriate company levels on… more
- Highmark Health (Pittsburgh, PA)
- …solving skills and planning abilities to diagnose and solve root process, payer and system issues impacting revenue cycle objectives. Addresses team barriers, ... process flow or productivity issues. Completes employee performance evaluations, monitors attendance and provides disciplinary action as necessary. (20%) + Organizes, delegates, monitors and measures special projects to ensure they are completed timely and… more
- NTT DATA North America (PA)
- …a Health care processing (Provider Data Management preferred, Claims or other Healthcare Payer / Provider experience) where you had to apply business rules to varying ... fact situations and make appropriate decisions + 3+ years of experience using a computer with Windows PC applications that require you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications. Preferred Skills:… more
- Guidehouse (Philadelphia, PA)
- …methodologies), early access opportunity assessments, value communication strategy and payer engagement strategy + Demonstrates strong market research skills, ... inclusive of primary research qualitative interview as well as quantitative survey experiences and familiarity with various pricing methodologies (ie, analogue assessment, Van Westerndorp, Gabor Granger, Conjoint, etc) + Understand key access tenets and… more
- Select Medical (Hummelstown, PA)
- …Planning + CarePlanning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure in ... a clinical discipline per state guidelines required. (Registered Nurse or Social Work (SW) preferred) **Previous Experience** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred. **Additional Data** _Equal… more
- Select Medical (Thorndale, 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 + 1 Year of Medical Office Experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- CVS Health (Harrisburg, PA)
- …DME, and helps to ensure timely physician follow-up. - Understands Payer /Plan benefits, policies, procedures, and can articulate them effectively to providers, ... members, and other key personnel. Our TOC Coaches are frontline advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments… more
- Select Medical (Camp Hill, PA)
- …+ Cash/Banking reporting and reconciliation (Healthcare) + Projection reporting + Payer audits + Process enhancements + Department projects and research + ... Vendor/Developer collaboration **Qualifications** **REQUIREMENTS** + High School Diploma or equivalent + Excellent analytical problem-solving skills + Excellent computer skills and Excel proficiency + Excellent communication skills **PREFERRED QUALIFICATIONS**… more
- J&J Family of Companies (Horsham, PA)
- …strategies into tactics. + Build and execute thoughtful training plan for payer and institutional account teams, ensuring improved proficiencies and preparedness for ... market events. Lead any necessary National Meetings / Fast Start Meetings for SCG and contribute to other field organization training needs related to access & fulfillment. + Identify and drive SCG-relevant requirements across the Integrated Evidence Team… more
- Penn Medicine (Bala Cynwyd, PA)
- …preferred + 2+ years Home care experience with knowledge of home health regulations and payer mix We believe that the best care for our patients starts with the best ... care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine… more