• Audit & Reimbursement II…

    Elevance Health (Harrisburg, PA)
    ** Audit & Reimbursement II - Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II ** will...report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews… more
    Elevance Health (10/30/25)
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  • Insurance Specialist II - Corporate Patient…

    Guthrie (Towanda, PA)
    …necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to identify potential ... Demonstrates skills and proficiency in analyzing complex billing problems, prepares appeals , challenges payer policies and pursues appeal turnover when necessary. 4.… more
    Guthrie (10/22/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively ... and educational opportunities to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville. Our hospital offers the… more
    Highmark Health (08/12/25)
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