- Elevance Health (Harrisburg, PA)
- **Audit & Reimbursement Senior- Appeals ** _This is a United States based, virtual position._ **National Government Services** is a proud member of Elevance Health's ... Services to transform federal health programs. The **Audit and Reimbursement Senior- Appeals ** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Harrisburg, PA)
- …Able to work independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings in accordance with ... report reopenings. + Under guided supervision, participate in completing more complex appeals related work: + Position papers + Jurisdictional Reviews + Maintaining… more
- Guardian Life (Harrisburg, PA)
- …Life Underwriting Consultants make appropriate risk decisions and resolve conflicts and appeals to the satisfaction of both the customer and the company. ... insurance and rendering decisions on issuance or declination. The Life Underwriting Manager / Specialist is responsible for supervising the evaluation of risk on… more
- Cardinal Health (Harrisburg, PA)
- …rethink how far their products can go. **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... and documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred (1-2 years) + Knowledge of Medicare, Medicaid and… more
- Cardinal Health (Harrisburg, PA)
- …+ Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be ... fully exhausted + Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation + Handle all… more
- Cardinal Health (Harrisburg, PA)
- …* Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be ... fully exhausted * Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation * Handle all… more
- Elevance Health (Harrisburg, PA)
- …auditor on S-10 audits. Assists higher level auditor on audit work and appeals as assigned + Perform supervisory review on less complex Medicare cost reports ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more