- 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
- Geisinger (Danville, PA)
- …have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to ... Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will… 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
- 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
- Humana (Harrisburg, PA)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- WellSpan Health (Chambersburg, PA)
- …oxygen therapy, and surgical services, including robotic surgery. At WellSpan Chambersburg Hospital , we work together to provide our neighbors with important ... proactive identification and investigation of issues related to precertification, reimbursement , denials, insurance availability, etc., and promptly notifies physician.… more
- Geisinger (Kingston, 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
- Penn Medicine (Lancaster, PA)
- …Demonstrated ability to work as a member of a team. + Req A health care provider in good standing with Medicare, Medicaid , and other federal and state health ... coordination and communication of the discharge process. + Participates in reimbursement , certification and authorization related activities as directed. + Documents… more
- Gentiva (Shamokin Dam, 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 (Philadelphia, 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 Great for Nursing Assistants ,...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… more
- Penn State Health (Hershey, PA)
- …Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider . As a four-time Magnet-designated hospital , Hershey Medical Center values ... grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department...to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in… 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! Job Opportunity: +...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 ... 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
- Gentiva (Chambersburg, PA)
- …designated teams and functions as an interdisciplinary (IDG) team member to provide care and liaise between physician, patient/family and hospice team.** + ... minimum of one (1) year experience as an RN, either in acute care hospital , oncology, long-term care, hospice or home health. + In instances where state-specific… 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! Job Opportunity: +...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
- 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
- Lake Erie College of Osteopathic Medicine (Erie, PA)
- …of Patient Care Services works with the Director of Patient Care Services to provide oversight of dental faculty and fourth year students in the clinic. Combining ... with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of...responsibility for protocols that will aid patients in the reimbursement of insurance claims; + Assist in the recruitment,… more