- Guthrie (Sayre, PA)
- …To provide clinical management of the patients in Behavioral Health. This entails liaison efforts among the attending psychiatrists, the multi‐disciplinary treatment ... team, any outside referral sources and third party payors to ensure that the care provided both inpatient and outpatient meets the needs of the individuals in the most cost effective manner possible. Education, License & Cert: Bachelor's degree preferred in… more
- Highmark Health (Pittsburgh, PA)
- …accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill ... Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%) +… more