• Quality and Payor Program

    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 (01/12/25)
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  • Claims Resolution Specialist

    Select Medical (Camp Hill, PA)
    **Overview** **Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **BONUS ELIGIBLE** **(Hybrid Schedule Possible After 90 Day Probationary ... enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our… more
    Select Medical (12/14/24)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
    St. Luke's University Health Network (11/09/24)
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  • Credentialing Specialist

    Penn Medicine (Philadelphia, PA)
    …shape our future each day. Are you living your life's work? **Credentialing Specialist ** Job Summary: + The Credentialing Specialist is responsible for examining ... Department of Health, The Joint Commission (TJC), and the National Commission Quality Assurance (NCQA). The Credentialing Coordinator will maintain and verify all… more
    Penn Medicine (12/20/24)
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  • Billing Collections Specialist

    UPMC (Pittsburgh, PA)
    UPMC Centers for Rehab Services is looking for a Billing Collections Specialist to join our team. In this role, you will work Monday through Friday during business ... is the potential to work a hybrid schedule. As a Billing Collections Specialist , you will provide the timely control, submission, collection, and analysis of all… more
    UPMC (01/08/25)
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  • Senior Medical Auditor - Pediatrics (Work…

    UPMC (Pittsburgh, PA)
    …to solving complex challenges. This position is responsible for the complete education program for the 276 physicians and 213 APPs across the 20 specialties in ... they arise. + Assist the Compliance Manager and Compliance Officer with quality assurance activites and with reporting the overall results (ie, effectiveness… more
    UPMC (12/07/24)
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