- Humana (Harrisburg, PA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Harrisburg, PA)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Genesis Healthcare (Pottstown, PA)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Organon & Co. (Plymouth Meeting, PA)
- …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... in developing and implementing strategies that support billing, coding, and reimbursement processes across diverse healthcare settings, including hospitals today and… more
- Cardinal Health (Harrisburg, PA)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …cultivates market opportunities, implementing strategic initiatives to drive growth for Medicaid and other AmeriHealth Caritas products. Reporting to the Director ... to appropriate state and local government officials, C-level executives at hospital and health systems, ACOs, FQHCs, community behavioral health systems, public… more
- Centene Corporation (Harrisburg, PA)
- …experience. 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office/group setting. Working ... fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician, hospital and ancillary service providers to sign network participation… more
- Humana (Harrisburg, PA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Geisinger (Scranton, PA)
- …Providers, community agencies, behavioral health, and other health plan departments to provide a model of care to maximize member's health status. Integrates ... promoting quality and efficiency in the delivery of healthcare for the Medicaid , Medicare and Commercial populations. + Completes structured clinical assessments for… more
- UPMC (Pittsburgh, PA)
- …+ Option to earn significant additional income + Generous CME allowance & PTO + Relocation reimbursement + Work at a busy community hospital + Live in a great ... hospital , as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of...+ UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians… more
- UPMC (Pittsburgh, PA)
- …professional payment methodologies including a general understanding of Medicare and PA Medicaid reimbursement . + Working knowledge of Microsoft Excel and Word. ... is responsible for evaluating and providing recommendations regarding health insurance provider contracts and relationships. The ideal candidate has prior experience… more
- Gentiva (Trevose, PA)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Fresenius Medical Center (Middletown, PA)
- …2,600+ dialysis centers, 350+ research sites across North America + Largest provider of renal care products and services in the nation, including state-of-the-art ... renal specialty laboratories + Up to $5,200 RN tuition reimbursement per calendar year + Benefits & PTO accrual...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… more
- Genesis Healthcare (Wyncote, PA)
- …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement , and Social Services to maintain accurate and compliant patient… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... Osteopathic in Harrisburg, PA!** We are an acute care hospital licensed for 177 beds. World-class cancer care from...is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including a competitive… more
- UPMC (Mechanicsburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- UPMC (Carlisle, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- UPMC (Harrisburg, PA)
- …services. UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of ... is a leader in providing life-changing medicine. Let us provide you with a life-changing career, including student loan...hours, 80 hours, or 120 hours. + Professional dues reimbursement + Reimbursement of Pennsylvania license renewal… more
- St. Luke's University Health Network (Allentown, PA)
- …assistance for medical services. + Assist with optimizing insurance coverage. Provide information for Medicaid application process and Insurance Marketplace. ... work in collaboration with other treatment team members to provide support to patients and the cancer center program...either via phone or in-person. + Submit claims for reimbursement from foundation and co-payment cards for payment of… more
- Banner Health (PA)
- **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46.20 / hour, based on ... Ahima, as defined in minimum qualifications below. **(Please upload a copy or provide certification number in your questionnaire.)** Please note, this is a COMPLEX… more