- Highmark Health (Pittsburgh, PA)
- …or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and ... creation of value-based reimbursement (VBR) & risk programs, as well as the...+ Responsible for the strategy and creation of provider reimbursement programs to position the organization competitively based on… more
- Cardinal Health (Harrisburg, PA)
- …the Fortune 500. We currently have a career opening for a Reimbursement Solutions Analyst. **What Clinical Operations contributes to Cardinal Health** Clinical ... to be given in the outpatient hospital setting. Reports to Reimbursement Solutions Supervisor, Individualized Care **Responsibilities:** + Evaluate data input… more
- Highmark Health (Pittsburgh, PA)
- …all key stakeholders to successfully design, plan, test, implement, and maintain reimbursement systems and all related reimbursement data tables. Manages all ... and authority. + Design, plan, test, implement and maintenance of all reimbursement systems and associated data tables, including all fee schedules and methods.Use… more
- Elevance Health (Harrisburg, PA)
- **Audit & Reimbursement III** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Services to transform federal health programs. The **Audit & Reimbursement III** is responsible for completing limited and full...BA/BS degree and a minimum of 5 years of audit/ reimbursement or related Medicare experience; or any combination of… more
- Kelly Services (Horsham, PA)
- …that works for you. How about this one? We're seeking a Logistics and Reimbursement Coordinator to work at a premier client in Horsham, PA starting on 10/13/2025. ... welcoming eligible patients, arranging travel and logistics, and handling reimbursement . + Serve as the point person for patients/caregivers,...let's get to work. Apply to be Logistics and Reimbursement Coordinator today! As part of our promise to… more
- Genesis Healthcare (York, PA)
- …and tracking of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the nursing center. *Conduct concurrent MDS ... social services, restorative, rehabilitation, and physician services to ensure appropriate reimbursement . Qualifications *Must be a graduate of an accredited School… more
- Genesis Healthcare (PA)
- …our Clinicians in Action professional development program. Responsibilities The Reimbursement Coordinator assists the Powerback Payment and Recovery team gathering ... records containing all items required by State and Federal Regulations for all phases of the appeal process. * Processes daily incoming denials notifications and follows processes for data entry to ensure all denials are recorded for appeal. Manages assigned… more
- Genesis Healthcare (York, PA)
- …is effectively managing resource utilization, improving clinical outcomes, maximizing reimbursement , complying with contractual obligations and responding to the ... needs of its payor customers. The Manager will also perform the functions of the Case Management Job Description and will be measured based on case management productivity standards. 1. Under the direction of the Director or Sr. Director, assists with the… more
- Cardinal Health (Harrisburg, PA)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Guthrie (Sayre, PA)
- …Responsible for accurately entering charge tickets after screening for appropriate use of CPT, ICD‐10, and modifier codes. Communicate with departments/sites when ... expected charge tickets have not been received for entry. Works closely with Central Charge Manager and Centralized Charge Entry Lead to identify missing charges not received in a timely manner. Education, License & Cert: Degree in Medical Office Assistant… more