Supervisor of Revenue Cycle and Credentialing Henry J. Austin Health Center IncSupervisor of Revenue Cycle and CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Medical Staff Credentialing Coordinator Thomas Jefferson UniversityMedical Staff Credentialing CoordinatorMontgomery County, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
Credentialing Coordinator QI ElwynCredentialing Coordinator QIMedia, PARegularly solicits and encourages feedback from staff and utilizes feedback to improve processes, as approved by members of the management team to maximize overall efficient and effective operations of the designated programs through activities including but not limited to identification of processes to streamline collection of credentialing information and participates in discussions at team meetings of ways to improve staff training. Completes monthly sanction screening with tasks including but not limited to reviewing and comparing staff names to resolve matches on data points provided working with Human Resources and the employee for any potential exclusion based on interview with the employee.
Clinical Nurse Specialist Children's Hospital of PhiladelphiaClinical Nurse SpecialistKing of Prussia, PA$104,600–$138,600 / yearInformation literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making; Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, analyze, and present outcome data depicted in charts and tables. Demonstrates health care informatics competencies to manage patient care, outcome data, and current and emerging healthcare technology, which includes: Basic computer competency, including the effective use of patient care devices, computers, and computer software programs such as e-mail, word processing, and shared network file space.
Clinical Nurse Specialist, Vascular Access Children's Hospital of PhiladelphiaClinical Nurse Specialist, Vascular AccessPhiladelphia, PA$107,200–$142,100 / yearInformation literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making; Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, analyze, and present outcome data depicted in charts and tables. Demonstrates health care informatics competencies to manage patient care, outcome data, and current and emerging health care technology, which includes: Basic computer competency, including the effective use of patient care devices, computers, and computer software programs such as e-mail, word processing, and shared network file space.
Clinical Specialist - East OrganOxClinical Specialist - EastPhiladelphia, PARemote$95,000–$110,000 / yearIt has been utilized in over 7,000 liver transplants to date to keep donor livers in a metabolically active state outside the body enabling longer preservation times and functional assessment of the organ prior to transplant, leading to an increased number of organs available for transplant. This includes teaching and training users in the correct manner to ensure our products are used safely and effectively - both for the preservation of organs prior to transplant, and for various clinical and non-clinical research studies.
Network Outreach Specialist eTeam Inc.Network Outreach SpecialistHopewell, NJ$18–$20 / hourContact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. • Assist provider offices with issues associated to credentialing, recredentialing, claims and provider data maintenance by providing guidance on how to proceed with the process.
Nursing Professional Development Specialist, PeriOp Children's Hospital of PhiladelphiaNursing Professional Development Specialist, PeriOpPhiladelphia, PA$104,600–$138,600 / yearAssessment of Practice Gaps: Prioritizes department, hospital, and enterprise needs (Macrosystem) aligning hospital initiatives and environmental scanning in the community, state, national, and international level to prioritize and address practice gaps. To accomplish this goal, NPD specialists design educational activities to address practice gaps for identified target audiences, which may include licensed and non-licensed healthcare personnel.
Nursing Professional Development Specialist, Ambulatory Children's Hospital of PhiladelphiaNursing Professional Development Specialist, AmbulatoryPhiladelphia, PA$107,200–$142,100 / yearAssessment of Practice Gaps: Prioritizes department, hospital, and enterprise needs (Macrosystem) aligning hospital initiatives and environmental scanning in the community, state, national, and international level to prioritize and address practice gaps. To accomplish this goal, NPD specialists design educational activities to address practice gaps for identified target audiences, which may include licensed and non-licensed healthcare personnel.
Paraprofessional/Student Support Specialist Judge GroupParaprofessional/Student Support SpecialistWayne, PA$19–$23 / yearBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Role Overview:This position provides 1:1 behavioral and academic support to students and assists in implementing individualized educational programs designed by the student’s case manager.
Onboarding Specialist AmeriBest Home Care, LLCOnboarding SpecialistPhiladelphia, PAUnder the direction of the Vice President of Growth, the Onboarding Specialist is responsible for overseeing the caregiver on-boarding process, collecting and processing employment paperwork, maintaining employment records and monitoring ongoing compliance for licensing and credentialing of all associates. Data entry new hire and associate termination information; update/maintain database regarding staff credentials, licenses, and other relevant information; and data entry communications with staff on compliance requirements.
Women''''s Health Clinical Account Specialist - Phoenix Southeast Organon & CoWomen''''s Health Clinical Account Specialist - Phoenix SoutheastPlymouth Meeting, PA$85,000–$144,100 / yearWithin select customer accounts, acts as the primary point of contact for the customer, meets with key customers/personnel to maintain an understanding of their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers, state policy, advocacy groups, coalitions), and their patients' needs. Within their geography, there are a diverse set of health care locations that they will call upon in to execute their role including: Clinics, Health Departments, Integrated Delivery Networks, Hospitals and Residency programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood and Family Planning Clinics, Military Treatment Facilities, and Indian Health Services.
Advanced Breast Procedures Specialist (ABPS) -Northeast and Mid Atlantic Applied Medical Resources CorpAdvanced Breast Procedures Specialist (ABPS) -Northeast and Mid AtlanticPhiladelphia, PA$80,000–$100,000 / yearOur dedication to delivering the highest quality products combined with our unique business model allows team members the ability to truly partner with hospital accounts and contribute in a larger capacity than is possible in most sales positions. Working alongside Applied Medical's Field Implementation and Advanced Procedural Specialist teams, the ABPS develops and executes strategic sales plans that drive long term growth of these technologies.
Senior Clinical Informatics Specialist University Health Services IncSenior Clinical Informatics SpecialistKING OF PRUSSIA, PAThrough its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. Works closely with the clinicians including physicians, departmental leadership, Patient Safety & Quality, Information Services, and Accreditation or Licensure departments to strategically select design, implement and guide the use of technology to ensure optimal care delivery processes.
Territory Sales Specialist- Tracheostomy (Northeast) Coloplast CorpTerritory Sales Specialist- Tracheostomy (Northeast)Philadelphia, PARemote$160,000–$165,000 / yearEnsures timely advancement of the sale process with all targeted accounts achieving/exceeding the annual minimum required contract commitments Ability to provide input to National Manager, Tracheostomy on the sales process, key identifiable milestones to progress thru stages, and document the sales cycle (time from identified opportunity to close). This Territory Sales Manager-Tracheostomy is responsible for achieving territory sales objectives through selling activities which include cultivating business partnerships with key decision makers, product in-services, driving market share and sales growth.
NewInternal Revenue Agent Excise Tax Specialist Department of the Treasury, USInternal Revenue Agent Excise Tax SpecialistPhiladelphia, PA$106,437–$163,062 / yearQualifying experience must have been in progressively responsible and diversified professional accounting or auditing work that required 1) knowledge of and skill in applying professional accounting principles, theory, and practices to analyze and interpret accounting books, records, or systems specifically to determine their effect on Federal tax liabilities and their adequacy for recording transactions affecting tax liabilities; 2) skill in interpreting and applying Federal tax law for individuals, business, and/or exempt organizations, partnerships, and corporations; 3) knowledge of business and trade practices to develop tax issues based on analysis and evaluation of overall business operations and financial condition; 4) knowledge of corporate financial transactions and financial management principles and practices; and 5) skill in interacting effectively with a broad range of individuals and in negotiating with specialists in accounting, legal, tax, and other similar business-related professions. BASIC REQUIREMENTS All GRADES (ALSO MEETS GRADE 5 QUALIFICATIONS): A Certificate as a Certified Public Accountant (CPA) or a bachelor's or higher degree in accounting that included at least 30 semester hours in accounting or 24 semester hours in accounting and an additional 6 semester hours in related subjects such as business law, economics, statistical/quantitative methods, computerized accounting or financial systems, financial management, or finance.
Territory Sales Specialist- Tracheostomy (Northeast) ColoplastTerritory Sales Specialist- Tracheostomy (Northeast)Philadelphia, PARemote$160,000–$165,000 / yearEnsures timely advancement of the sale process with all targeted accounts achieving/exceeding the annual minimum required contract commitments Ability to provide input to National Manager, Tracheostomy on the sales process, key identifiable milestones to progress thru stages, and document the sales cycle (time from identified opportunity to close). This Territory Sales Manager-Tracheostomy is responsible for achieving territory sales objectives through selling activities which include cultivating business partnerships with key decision makers, product in-services, driving market share and sales growth.
Cardiac Ablation Specialist-Philadelphia AtriCureCardiac Ablation Specialist-PhiladelphiaPhiladelphia, PennsylvaniaThe Cardiac Ablation Specialist (CAS) serves as a critical clinical and commercial partner, working in close alignment with Cardiac Sales Managers and/or Hybrid Therapies Sales Managers, and Professional Education teams to drive adoption, optimize outcomes, and expand market presence. This role is responsible for advancing field sales efforts through clinical expertise, education, and strategic market development within Cardiac Surgery and Electrophysiology (EP) environments, including operating rooms, EP labs, cath labs, and associated care settings.
HIM Document Specialist Pride GlobalHIM Document SpecialistWilmington, DE$830.80 / weekThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Information Technology Specialist Applications Software Department of the Treasury, USInformation Technology Specialist Applications SoftwarePhiladelphia, PA$125,776–$187,093 / yearEvaluating, guiding, or supporting the appropriate use of modern software engineering tools, including approved AI-assisted development tools where appropriate, to improve software delivery, documentation, testing, code quality, analysis, or maintainability while ensuring alignment with federal cybersecurity, privacy, accessibility, records management, and organizational policy requirements. Guiding technical decisions involving APIs, web services, microservices, application integrations, databases, automated testing strategies, CI/CD and DevSecOps practices, containerized or cloud-based architectures, observability, performance monitoring, code quality, vulnerability remediation, and secure software development practices.