- WellSpan Health (York, PA)
- Quality and Payor Program Specialist Location: WellSpan Health, York, PA Schedule: Full Time Schedule Full-time: 40hrs/wk Hours: Monday - Friday, 8am - ... Summary Works with Medical Group and/or Hospital, System and Payor resources to ensure organizational awareness, exceptional communication, ongoing maintenance… more
- WellSpan Health (York, PA)
- …will support Medication Prior Authorizations, Medication Refills, patient outreach to help achieve payor and quality metrics, as well as support for In-Basket ... as required. + Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. + Maintains… more
- Highmark Health (Harrisburg, PA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... Reviews and interprets medical information, classifies that information into the appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for… more