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Hierarchical Condition Category (HCC) Coding Specialist

Highmark Inc.
Arizona
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Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver ...
Details
Summary
About the job:
value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certified Radiology Coder
Certified Coding Specialist
Certified Professional Coder
Registered Health Information Technician
Certified Rehabilitation Counselor
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Client Manager Small Group - NY

Highmark Inc.
Buffalo, NY
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Company : Highmark Inc. Job Description : JOB SUMMARY This job is ...
Details
Summary
About the job:
responsible for managing a book of business and the business relationship as a strategic consultant for existing accounts directly or through intermediaries. The incumbent is responsible for renewing accounts and selling new products and services to existing accounts to ensure retention and growth of profitable business. This is a Hybrid based role out of Buffalo New York or Albany New York ESSENTIAL RESPONSIBILITIES - Review new products, services, capabilities, and technologies with the client in order to sell assigned...
Location:
Buffalo, NY
Job Type:
Full-Time
Permanent
Occupation:
Sales Managers
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Client Services Manager - PA

Highmark Inc.
Philadelphia, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY This job partners with ...
Details
Summary
About the job:
assigned Client Managers to maintain and grow existing business and ensure that positive account relationships are maintained. The incumbent assists in the preparation of proposals, meeting materials and/or sales collateral during the account renewal process. Evaluates, recommends and implements processes to ensure that account objectives are met. Serves as the sales liaison between group administrators and the Organization's internal departments for problem resolution. ESSENTIAL RESPONSIBILITIES - Partner with...
Location:
Philadelphia, PA
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Non-Retail Sales Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

SENIOR ACCOUNTING COORDINATOR

Highmark Inc.
Camp Hill, PA
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Company : Highmark Inc. Job Description : GENERAL OVERVIEW This position ...
Details
Summary
About the job:
performs a broad range of accounting functions which may include some or all of the following: posts, checks and proofs entries to general ledger and accounts; verifies, sorts, posts and checks claims, bills, invoices, and vouchers; verify and process accounts payable; reconcile bank accounts, posts information and balances general or subsidiary ledgers, processes payments and compiles segments of monthly closings, annual reports, etc.; cash application responsibilities; cash collection activities; contacting other...
Location:
Camp Hill, PA
Job Type:
Full-Time
Permanent
Occupation:
Bookkeeping, Accounting, and Auditing Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Accountant

Highmark Inc.
Camp Hill, PA
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Company : Highmark Inc. Job Description : JOB SUMMARY Perform professional ...
Details
Summary
About the job:
accounting work involving compilation, consolidation, and analysis of accounting and finance information for the production of financial statements and reports. Applies accounting techniques and standard practices to the classification and recording of financial transactions. Specific duties vary by department and may include, but are not limited to, one or more of the following: preparation of journal entries, fixed asset or inventory accounting, preparation of trial balance or financial statements, cost accounting,...
Location:
Camp Hill, PA
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information

Supervisor Member Services

Highmark Inc.
West Virginia
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Company : Highmark Inc. Job Description : JOB SUMMARY This job is ...
Details
Summary
About the job:
responsible for supervising member service call center and ensuring timely, professional, and courteous responses to all customer inquiries and complaints, appropriately referring inquiries to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make routine medical approval decisions. ESSENTIAL RESPONSIBILITIES - Manage the departmental operations and day-to-day functions. - Handle escalated calls from members, state agencies, providers and vendors. - Coach and...
Location:
West Virginia
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

None Specified

Highmark Inc.
Camp Hill, PA
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Company : Highmark Health Job Description : GENERAL OVERVIEW: The Supervisor ...
Details
Summary
About the job:
Shared Financial Services supervises a staff of both exempt and non-exempt personnel and is the content knowledge expert and key Finance liaison on corporate Finance and other company area initiatives involving any interaction with processes performed at the Shared Financial Services level. In addition, the Supervisor is accountable for the following: the reconciliation and recording of data to the financial statements regarding all transactions interfacing with the Shared Financial Services systems; ensuring...
Location:
Camp Hill, PA
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certified Public Accountant
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

None Specified

Highmark Inc.
Camp Hill, PA
Actions
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Save to My Profile
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Company : Highmark Health Job Description : JOB SUMMARY Perform professional ...
Details
Summary
About the job:
accounting work involving compilation, consolidation, and analysis of accounting and finance information for the production of financial statements and reports. Applies accounting techniques and standard practices to the classification and recording of financial transactions. Specific duties vary by department and may include, but are not limited to, one or more of the following: preparation of journal entries, fixed asset or inventory accounting, preparation of trial balance or financial statements, cost accounting,...
Location:
Camp Hill, PA
Job Type:
Full-Time
Permanent
Occupation:
Accountants and Auditors
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information

Senior Clinical Quality Management Analyst - (Remote, Delaware) Performance Improvement Project Leader

Highmark Inc.
Delaware
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Company : Highmark Inc. Job Description : JOB SUMMARY This job works with ...
Details
Summary
About the job:
appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding. Serves as a resource and educator regarding provider and office staff medical record documentation, federal and state standards including CMS and NCQA...
Location:
Delaware
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Total Quality Management certification
Certified Coding Specialist
Certified Rehabilitation Counselor
Licensed Practical Nurse
Registered Health Information Administrator
Certified Radiology Coder
National Committee for Quality Assurance
ICD-10 / ICD-9
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Salary: Upper Income Jobs ($50K-$79K)
Company Name: Highmark Inc
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