Java API Tech Lead System OneJava API Tech LeadPittsburgh, PA$10,000 / hourProvide technical leadership and hands-on development expertise in Java, Spring Boot, and frontend technologies like Angular or React. Drive the design, development, and delivery of scalable, high-performance web applications using Java, microservices architecture, and modern frontend frameworks.
NewManager, Coding University of Pittsburgh Medical CenterManager, CodingPittsburgh, PARemoteThe Manager, Coding is a mid-level professional position that is responsible for handling routine, day-to-day coding and rate inquiries from provider practices and hospitals. Bachelor's Degree in health care administration, business and/or other related discipline; OR graduate of an approved Health Information program or Medical Insurance Certificate Program preferred.
Coding Analyst Sr. Elevance Health IncCoding Analyst Sr.PAWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Professional Coding Specialist III - Cardiothoracic Surgery West Virginia University MedicineProfessional Coding Specialist III - Cardiothoracic SurgeryPAAccurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
NewHierarchical Condition Category (HCC) Coding Specialist Highmark IncHierarchical Condition Category (HCC) Coding SpecialistPAThis job will deliver 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. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
NewCoder II - Technical (Inpatient Coding University of Pittsburgh Medical CenterCoder II - Technical (Inpatient CodingPittsburgh, PARemoteMaintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculm that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorPARemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Pittsburgh, PAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerPA$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
NewTechnology Engineer - JAVA/.NET/Security Code Review The PNC Financial Services Group IncTechnology Engineer - JAVA/.NET/Security Code ReviewPittsburgh, PA$86,250–$158,125 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
Automotive Coding and Networking Professional C. Harper Auto GroupAutomotive Coding and Networking ProfessionalBelle Vernon, PennsylvaniaThis role ensures the reliability of dealership management systems (DMS), network infrastructure, cybersecurity, telecommunications, and end-user technology while supporting operational efficiency for sales, service, parts, finance, and administrative departments. The IT Coding and Networking Professional is responsible for planning, implementing, securing, and supporting all technology systems across the dealership.
NewSecurity Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group IncSecurity Testing Specialist - Code Review/Java, .NET, Python DeveloperPittsburgh, PA$91,000–$185,900 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).
Specialist, Codes & Standards - State Adoption Eaton Corporation PlcSpecialist, Codes & Standards - State AdoptionMoon Township, PARemote$97,000–$143,000 / yearAfter making a conditional offer and running a background check, if Eaton is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. d) Stay current with emerging technology and regulatory trends and update product/marketing teams for potential new product opportunities or product updates.
Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark) The PNC Financial Services Group IncSoftware Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark)Pittsburgh, PAPNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions. In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelPittsburgh, PennsylvaniaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Medical Coder - Full Time Indiana Regional Medical CenterMedical Coder - Full TimePAApply knowledge of coding systems (ICD-9-CM, ICD-9-PCS, CPT, HCPCS) and coding guidelines (AHA Coding Clinic, CPT Assistant, etc.) to ensure proper code selection. Work closely with providers and clinical documentation improvement (CDI) teams to clarify ambiguities or incomplete documentation.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorPA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Nurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/Hematology Highmark IncNurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/HematologyBethel Park, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. While exercising significant autonomy in your practice, you will have a designated physician available for direct support, consultation, and supervision, ensuring compliance with all state licensure regulations and providing expert guidance and resources for the management of complex clinical cases.
Netsmart RCM Consultant enkompas Technology SolutionsNetsmart RCM ConsultantSewickley, PARemoteRevenue Cycle Management Integration: Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection. Training and Support: Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.
Netsmart EHR RCM Consultant enkompas Technology SolutionsNetsmart EHR RCM ConsultantSewickley, PARemoteRevenue Cycle Management Integration: Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection. Training and Support: Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.
NewSupervisor Strategic Risk Adjustment and Quality Highmark IncSupervisor Strategic Risk Adjustment and QualityPAOversee the teams' processes to conduct multiple type of audits, government and internal, identify gaps, repeating issues and communicate results in provider office sites with data analysis from office site and/or medical record reviews to (a) continually improve the care, service to members and patient satisfaction; (b) coordination with other Highmark programs for credentialing, quality improvement programs, value based programs, care management programs, to achieve high caliber results, and (c) ensure medical records meet regulatory requirements. Contribute to the department's strategic planning efforts by identifying tactical opportunities for improvement, recommending solutions, and developing materials especially directed at Risk Adjustment, Quality/HEDIS, and Medical Record Documentation projects related to the development and implementation of educational opportunities.
Physician Assistant - Outpatient Domain - Cardiac/Oncology Program Highmark IncPhysician Assistant - Outpatient Domain - Cardiac/Oncology ProgramPittsburgh, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings (20%). In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Physician Assistant or Nurse Practitioner - Inpatient - Hospitalist Highmark IncPhysician Assistant or Nurse Practitioner - Inpatient - HospitalistPittsburgh, PASkip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.
NewCoder I - Technical University of Pittsburgh Medical CenterCoder I - TechnicalPARemoteDetermine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures.
NewChief Medical Officer, Family Hospice UPMC Southwestern PAChief Medical Officer, Family HospiceMonroeville, PAUPMC Family Hospice partners closely with UPMC hospitals, service lines, and the UPMC Palliative and Supportive Institute (PSI) to deliver high?quality, patient?centered care across inpatient, outpatient, and community settings. The work environment involves high risks with exposure to potentially dangerous situations or unusual environmental stress, including exposure to blood or body fluids which requires the use of Personal Protective Equipment (PPEs), such as safety eyeglasses, face shield, surgical mask, gloves and/or gowns.
Billing Specilaist Mon Vale HealthPlex Penn Highlands HealthcareBilling Specilaist Mon Vale HealthPlexPASummary: AS A BILLING SPECIALIST I, you'll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position interprets all contracts and determines the correct and timely payment and ensures the work-flow of the billing department runs smoothly.
Medical Receptionist- McMurray, PA Preferred Primary Care Physicians, Inc.Medical Receptionist- McMurray, PACanonsburg, PAFull timeThe Medical Receptionist serves as the initial person to greet, instruct and direct all persons visiting or calling the medical practice utilizing skills of tact, diplomacy and confidentiality in a professional manner. Closeout procedures, gathering encounter forms, processing daily activities of coding, batching, billing and hospital visits.
Medical Receptionist-Scott Township Preferred Primary Care Physicians, Inc.Medical Receptionist-Scott TownshipPittsburgh, PAFull timeThe Medical Receptionist serves as the initial person to greet, instruct and direct all persons visiting or calling the medical practice utilizing skills of tact, diplomacy and confidentiality in a professional manner. Preferred Primary Care Physicians is currently recruiting for a full-time Medical Receptionist for a practice located in the Scott Township area.
Ophthalmic Technician Pearle VisionOphthalmic TechnicianPittsburgh, PennsylvaniaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorPA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Physician Assistant or Nurse Practitioner- Inpatient Critical Care Highmark IncPhysician Assistant or Nurse Practitioner- Inpatient Critical CarePittsburgh, PASkip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers Physician Assistant or Nurse Practitioner- Inpatient Critical Care Explore our jobs Physician Assistant or Nurse Practitioner- Inpatient Critical Care Apply Open in new tab icon. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.
Nurse Practitioner - Outpatient Domain (B) - Women's Health Highmark IncNurse Practitioner - Outpatient Domain (B) - Women's HealthSewickley, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Physician Assistant or Nurse Practitioner - Outpatient Domain, Neurology, Neuromuscular Division Highmark IncPhysician Assistant or Nurse Practitioner - Outpatient Domain, Neurology, Neuromuscular DivisionPittsburgh, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning, and providing accurate medical record documentation for patients in physician offices and non-acute based settings. National Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), National Certification Corporation (NCC), or Pediatric Nursing Certification Board (PNCB).
Nurse Practitioner or Physician Assistant- Outpatient Domain - Digestive Health Highmark IncNurse Practitioner or Physician Assistant- Outpatient Domain - Digestive HealthPittsburgh, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Highmark IncNurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary CareBethel Park, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning, and providing accurate medical record documentation for patients in physician offices and non-acute based settings. Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Explore our jobs Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Apply Open in new tab icon.
Physician Assistant or Nurse Practitioner - Inpatient Domain-Casual, Hospitalist Highmark IncPhysician Assistant or Nurse Practitioner - Inpatient Domain-Casual, HospitalistMonroeville, PANational Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), National Certification Corporation (NCC), or Pediatric Nursing Certification Board (PNCB). This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating, and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.
Nurse Practitioner - Outpatient Domain - Women's Health Highmark IncNurse Practitioner - Outpatient Domain - Women's HealthPittsburgh, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Provider Contract Analyst Highmark IncProvider Contract AnalystPAThe analyst will be heavily involved in provider-facing activities such as assisting with the Helion Provider Help Desk to answer questions related to Utilization Management and claims processing, collaborating with the development team to draft agreements, and assisting with health plan contract negotiations. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Field Reimbursement Manager - Mid-Atlantic Heartflow IncField Reimbursement Manager - Mid-AtlanticPARemote$90,000–$120,000 / yearExceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers. Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource.
Healthcare Compliance Auditor, Senior I University of Pittsburgh Medical CenterHealthcare Compliance Auditor, Senior IPittsburgh, PALeveraging expertise in healthcare operations, reimbursement methodologies, and regulatory requirements, this position conducts auditing and monitoring activities and collaborates with clinical, operational, revenue cycle, and compliance stakeholders to promote adherence to regulatory requirements. The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMC's compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks.
Collections Specialist Vital Care Infusion ServicesCollections SpecialistPittsburgh, PennsylvaniaRemoteAnalyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Patient Services Representative - University OB/GYN - Magee Women's Hospital University of Pittsburgh Medical CenterPatient Services Representative - University OB/GYN - Magee Women's HospitalPittsburgh, PAPurpose: A Patient Services Representative is responsible for welcoming patients upon arrival, promoting the usage of new and emerging consumer-friendly technologies, educating patients on their copayments and financial obligations and collecting payments when applicable, scheduling subsequent appointments within the continuum of care, connecting patients to financial advocacy resources when appropriate, updating patient's demographics and insurance coverage information, and promoting an overall culture of service excellence. Patient Services Representative display strong customer service skills that ensure that patients and family members have the desired UPMC Experience at UPMC physician practices, hospitals, and outpatient surgery departments.
Coder - Outpatient Highmark IncCoder - OutpatientPAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Job Description: GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
NewPayment Accuracy Analyst, Senior - Hybrid University of Pittsburgh Medical CenterPayment Accuracy Analyst, Senior - HybridPittsburgh, PAHere's what your day-to-day will look like: Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with clinical and financial goals. Bachelor's degree and 4 years of relevant experience OR equivalent combination of education & work within healthcare payers/claims payment processing will be considered.
Coordinator Billing Regional - Women's Institute - West Penn - Full Time (Hybrid) Highmark IncCoordinator Billing Regional - Women's Institute - West Penn - Full Time (Hybrid)Pittsburgh, PAIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Performs other duties as assigned or required, including but not limited to reviewing and verifying billing reports, registration, and chart audits.
Pharmacy Care Technician - Work From Home (Monroeville, PA) CVS Health CorpPharmacy Care Technician - Work From Home (Monroeville, PA)Monroeville, PA$17–$28.46 / hourPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
ProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNUnitedRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Profee Audit Specialist - FT DatavantProfee Audit Specialist - FTUnitedRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
NewHospice Nurse Practitioner, Full-Time Gentiva Health Services Inc (Inactive)Hospice Nurse Practitioner, Full-TimeWexford, PAComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Advanced Practice Provider - Pittsburgh, PA Highmark IncAdvanced Practice Provider - Pittsburgh, PAPittsburgh, PAThe role proactively manages symptoms, guides advance care planning, and supports members with chronic or life-limiting illnesses to ensure optimal quality of life and health outcomes. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.