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JobsJobs in PennsylvaniaJobs in Melrose, PAHealthcare Jobs in Melrose, PAMedical Billing and Coding JobsCoding Jobs in Melrose, PA
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Coding Jobs in Melrose, PA

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    New

    Physician Coding Auditor Ensemble Health Partners

    Physician Coding Auditor
    Morgantown, WV
    Remote
    • $57,400–$99,000

    The 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.

    Today
    New

    Coder Quality Auditor Ensemble Health Partners

    Coder Quality Auditor
    Morgantown, WV
    Remote
    • $57,400–$99,000

    Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.

    Today

    Single Path Coding Spec II (Same Day Surgery) West Virginia University Medicine

    Single Path Coding Spec II (Same Day Surgery)
    Monongalia County, WV

    Applies clinical knowledge of disease processes, physiology, pharmacology and surgical techniques by reviewing and interpreting all clinical documentation. This position is responsible for the accurate assignment of procedures and diagnostic codes to patient records using different forms of coding classification systems.

    30+ days ago

    Coding Auditor-Educator West Virginia University Medicine

    Coding Auditor-Educator
    Monongalia County, WV

    EXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.

    30+ days ago

    Automotive Coding and Networking Professional C. Harper Auto Group

    Automotive Coding and Networking Professional
    Belle Vernon, Pennsylvania

    This 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.

    30+ days ago

    Benefits Configuration Analyst West Virginia University Medicine

    Benefits Configuration Analyst
    Monongalia County, WV

    Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field.

    30+ days ago

    Clinical Denial Specialist - Diagnosis Related Grouping (DRG) West Virginia University Medicine

    Clinical Denial Specialist - Diagnosis Related Grouping (DRG)
    Monongalia County, WV

    MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in healthcare administration, Nursing, Health Information Management, or related field AND Five (5) years of experience in hospital billing, acute care setting, CDI, inpatient coding, or revenue cycle'. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).

    30+ days ago
    Highmark Inc logo
    New

    Nurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/Hematology Highmark Inc

    Nurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/Hematology
    Bethel Park, PA

    Provides 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.

    6 days ago

    Billing Specilaist Mon Vale HealthPlex Penn Highlands Healthcare

    Billing Specilaist Mon Vale HealthPlex
    PA

    Summary: 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.

    16 days ago

    Medical Receptionist- McMurray, PA Preferred Primary Care Physicians, Inc.

    Medical Receptionist- McMurray, PA
    Canonsburg, PA
    • Full time

    The 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.

    30+ days ago
    Highmark Inc logo

    Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Highmark Inc

    Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care
    Bethel Park, PA

    Provides 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.

    30+ days ago
    Highmark Inc logo

    Physician Assistant or Nurse Practitioner - Inpatient Domain-Casual, Hospitalist Highmark Inc

    Physician Assistant or Nurse Practitioner - Inpatient Domain-Casual, Hospitalist
    Monroeville, PA

    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). 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.

    30+ days ago

    Clinical Denials Specialist West Virginia University Medicine

    Clinical Denials Specialist
    Monongalia County, WV

    This includes but is not limited to, denial investigation, follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate and timely account adjustments all while ensuring compliance with all federal, state, third-party billing regulations and contract agreements. Manages and distributes incoming mail in an accurate and timely manner; includes Epic documentation, logging incoming correspondence, uploading to document warehouse and routing mis-directed mail; processes outgoing certified mail.

    27 days ago

    Clinical Optimization Specialist - Signature Service Line West Virginia University Medicine

    Clinical Optimization Specialist - Signature Service Line
    Morgantown, WV

    This role will report to the Heart and Vascular Assistant Vice President of Finance and partner directly with Revenue Cycle teams, as well as collaborate with HVI physicians, APPs, and IT analysts to optimize documentation workflows and clinical templates within Epic's EMR. MINIMIM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).

    30+ days ago
    CVS Health Corp logo

    Pharmacy Care Technician - Work From Home (Monroeville, PA) CVS Health Corp

    Pharmacy Care Technician - Work From Home (Monroeville, PA)
    Monroeville, PA
    • $17–$28.46 / hour

    Pharmacy 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.

    30+ days ago

    ProFee Audit Specialist- PRN Datavant

    ProFee Audit Specialist- PRN
    United
    Remote
    • $35–$45 / hour

    As 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.

    30+ days ago

    Profee Audit Specialist - FT Datavant

    Profee Audit Specialist - FT
    United
    Remote
    • $35–$45 / hour

    As 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.

    30+ days ago

    Ambulatory Charge Capture Analyst West Virginia University Medicine

    Ambulatory Charge Capture Analyst
    Morgantown, WV

    High school diploma AND six (6) years of experience in business analysis OR bachelor's degree in finance, business management, information technology/computer science, healthcare administration, nursing or related field AND two (2) years of experience in business analysis or similar role.\n \nEXPERIENCE: \n \n1. \n \nThe Ambulatory Charge Capture Analyst serves as an embedded revenue cycle specialist within assigned clinical department(s), ensuring accurate and complete charge capture for all billable services, procedures, and supplies.

    30+ days ago
    New

    Location Manager - West Mifflin, PA Advanced Dermatology & Cosmetic Surgery

    Location Manager - West Mifflin, PA
    Jefferson, PA

    Benefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week). Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services.

    5 days ago
    Highmark Inc logo

    Billing Associate - AHN Cancer Institute / Radiation Oncology - Forbes Highmark Inc

    Billing Associate - AHN Cancer Institute / Radiation Oncology - Forbes
    Monroeville, PA

    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. Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).

    30+ days ago
    UnitedHealth Group Inc logo

    Per Diem Associate Patient Care Coordinator UnitedHealth Group Inc

    Per Diem Associate Patient Care Coordinator
    Greensburg, PA

    The Associate Patient Care Coordinator is responsible for providing patient-oriented service in a clinical or front office setting performs a variety of clerical and administrative duties related to the delivery of patient care including greeting and checking in patients answering phones collecting patient co - pays and insurance payments processing paperwork and performing other front office duties as required in a fast - paced customer - oriented clinical environment. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.

    30+ days ago
    UnitedHealth Group Inc logo

    Part Time Associate Patient Care Coordinator UnitedHealth Group Inc

    Part Time Associate Patient Care Coordinator
    Greensburg, PA

    The Associate Patient Care Coordinator is responsible for providing patient-oriented service in a clinical or front office setting performs a variety of clerical and administrative duties related to the delivery of patient care including greeting and checking in patients answering phones collecting patient co-pays and insurance payments processing paperwork and performing other front office duties as required in a fast-paced customer-oriented clinical environment. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.

    30+ days ago

    PATIENT SERVICES ASSOCIATE - GI Excela Health

    PATIENT SERVICES ASSOCIATE - GI
    Greensburg, PA

    Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs.

    19 days ago

    Rehab Clinical Coordinator West Virginia University Medicine

    Rehab Clinical Coordinator
    WV

    In addition to supporting pre-admission screening and real-time functional outcome data capture, the role acts as a key resource for staff, patients, and families, while driving improvements in authorization accuracy, denial prevention, and overall operational performance through data analysis and cross-functional collaboration. Ability to organize and prioritize time and tasks to achieve a well-coordinated work effort and to effectively meet work schedules including an ability to integrate multiple factors which may have an impact on patient care.

    18 days ago

    PATIENT SAFETY ASSOCIATE - INPATIENT BEHAVIORAL HEALTH Independence Health System

    PATIENT SAFETY ASSOCIATE - INPATIENT BEHAVIORAL HEALTH
    PA

    Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.

    12 days ago

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, PART TIME Independence Health System

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, PART TIME
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    15 days ago

    PATIENT SERVICES ASSOCIATE - GI Independence Health System

    PATIENT SERVICES ASSOCIATE - GI
    Greensburg, PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    19 days ago

    PATIENT SERVICES ASSOCIATE - PRIMARY CARE Independence Health System

    PATIENT SERVICES ASSOCIATE - PRIMARY CARE
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    14 days ago

    PATIENT SERVICES ASSOCIATE - WOMENS HEALTH Independence Health System

    PATIENT SERVICES ASSOCIATE - WOMENS HEALTH
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    28 days ago

    PATIENT SERVICES ASSOCIATE - UROLOGY Independence Health System

    PATIENT SERVICES ASSOCIATE - UROLOGY
    PA

    Bending (Stooping) Sitting Walking Climbing Stairs Climbing Ladders Standing Kneeling Squatting (Crouching) Twisting/Turning Keyboard/Computer Operation Gross Grasp Fine Finger Manipulation Hand/Arm Coordination Pushing/Pulling (lbs. Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements.

    30+ days ago

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS Independence Health System

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    25 days ago

    PATIENT SERVICES ASSOCIATE - LUNG CENTER Independence Health System

    PATIENT SERVICES ASSOCIATE - LUNG CENTER
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    30+ days ago

    PATIENT SERVICE ASSOCIATE - ORTHOPEDICS AND SPORTS MEDICINE Independence Health System

    PATIENT SERVICE ASSOCIATE - ORTHOPEDICS AND SPORTS MEDICINE
    PA

    Extreme Heat Extreme Cold Heights Confined Spaces Extreme Noise (>85dB) Mechanical Hazards Use of Vibrating Tools Operates Vehicle Operates Heavy Equipment Use of Lifting/Transfer Devices Rotates All Shifts 8 Hours Shifts 10-12 Hours Shifts On-Call Overtime (+8/hrs/shift; 40/hrs/wk) Travel Between Sites Direct Patient Care Respirator Protective Equipment Eye Protection Head Protection (hard hat) Hearing Protection Hand Protection Feet, Toe Protection Body Protection Latex Exposure Solvent Exposure Paint (direct use) Exposure Dust (sanding) Exposure Ethylene Oxide Exposure Cytotoxic (Chemo) Exposure Blood/Body Fluid Exposure Chemicals (direct use) Exposure Mist Exposure Wax Stripper (direct use) Exposure Non-Ionizing Radiation Exposure Ionizing Radiation Exposure Laser Exposure. Bending (Stooping) Sitting Walking Climbing Stairs Climbing Ladders Standing Kneeling Squatting (Crouching) Twisting/Turning Keyboard/Computer Operation Gross Grasp Fine Finger Manipulation Hand/Arm Coordination Pushing/Pulling (lbs.

    30+ days ago

    PATIENT SERVICES ASSOCIATE - URGENT CARE Independence Health System

    PATIENT SERVICES ASSOCIATE - URGENT CARE
    Greensburg, PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    30+ days ago

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, CASUAL FLOAT Independence Health System

    PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, CASUAL FLOAT
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    30+ days ago
    New

    PATIENT SERVICES ASSOCIATE - SURGICAL SPECIALISTS Independence Health System

    PATIENT SERVICES ASSOCIATE - SURGICAL SPECIALISTS
    PA

    Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee.

    1 day ago
    New

    PATIENT SERVICE ASSOCIATE - PRIMARY CARE Independence Health System

    PATIENT SERVICE ASSOCIATE - PRIMARY CARE
    Mount Pleasant, PA

    Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee.

    5 days ago

    PATIENT SERVICE ASSOCIATE - ORTHO SPORTS MED Independence Health System

    PATIENT SERVICE ASSOCIATE - ORTHO SPORTS MED
    PA

    of force) X 85dB) Mechanical Hazards Use of Vibrating Tools Operates Vehicle Operates Heavy Equipment Use of Lifting/Transfer Devices Rotates All Shifts 8 Hours Shifts 10-12 Hours Shifts On-Call Overtime (+8/hrs/shift; 40/hrs/wk) Travel Between Sites Direct Patient Care Respirator Protective Equipment Eye Protection Head Protection (hard hat) Hearing Protection Hand Protection Feet, Toe Protection Body Protection Latex Exposure Solvent Exposure Paint (direct use) Exposure Dust (sanding) Exposure Ethylene Oxide Exposure Cytotoxic (Chemo) Exposure Blood/Body Fluid Exposure Chemicals (direct use) Exposure Mist Exposure Wax Stripper (direct use) Exposure Non-Ionizing Radiation Exposure Ionizing Radiation Exposure Laser Exposure.

    30+ days ago

    PATIENT SERVICE ASSOCIATE - SPINE CENTER Independence Health System

    PATIENT SERVICE ASSOCIATE - SPINE CENTER
    PA

    Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.

    30+ days ago

    Director, Field Market Access Beam Therapeutics

    Director, Field Market Access
    United
    • $210,000–$260,000 / year

    Beam's suite of gene editing technologies is anchored by base editing, a proprietary technology that is designed to enable precise, predictable and efficient single base changes, at targeted genomic sequences, without making double-stranded breaks in the DNA. Educate providers on local payer trends, appropriate billing and coding for gene therapy, providing support to offices for individual patient reimbursement journeys, including troubleshooting reimbursement concerns.

    12 days ago

    Certified Coder Mon Valley Hospital (On-Site) Penn Highlands Healthcare

    Certified Coder Mon Valley Hospital (On-Site)
    PA

    Summary: As a CERTIFIED CODER, you will code hospital inpatient records and ambulatory outpatient records with a high degree of accuracy for the purpose of reimbursement, research and compliance with federal. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.

    30+ days ago
    Highmark Inc logo

    Billing Associate - Neurosurgery - Washington - FT Highmark Inc

    Billing Associate - Neurosurgery - Washington - FT
    PA

    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. Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).

    30+ days ago

    Pre-Authorization Scheduling Coordinator Bariatric Clinic West Virginia University Medicine

    Pre-Authorization Scheduling Coordinator Bariatric Clinic
    WV

    MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process.

    30+ days ago
    UnitedHealth Group Inc logo

    Associate Patient Care Coordinator UnitedHealth Group Inc

    Associate Patient Care Coordinator
    Greensburg, PA

    Primary ResponsibilitiesCommunicates directly with patients and or families either in person or on the phone to complete the registration process by collecting patient demographics health information and verifying insurance eligibility benefitsUtilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of informationGathers necessary clinical information and processes referrals pre-certification pre-determination s and pre-authorizes according to insurance plan requirementsVerifies insurance coverage benefits and creates price estimates reverifications as neededCollects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligationsIdentifies outstanding balances from patients previous visits and attempts to collect any amount dueResponsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital dischargeResponds to patient and caregivers inquiries related to routine and sensitive topics always in a compassionate and respectful mannerGenerates reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessaryMaintains up-to-date knowledge of specific registration requirements for all areas including but not limited to Main Admitting OP Registration ED Registration Maternity and Rehabilitation unitsWhat are the reasons to consider working for UnitedHealth Group Put it all together - competitive base pay a full and comprehensive benefit program performance rewards and a management team who demonstrates their commitment to your success. ›Ireland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialAssociate Patient Care Coordinator Greensburg Pennsylvania Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring.

    30+ days ago

    Software Developer (Full-Stack) Cleaveland/Price Inc

    Software Developer (Full-Stack)
    PA

    Experience working with relational databases, including writing and optimizing SQL queries, stored procedures, and database objects. Cleaveland/Price's employee-focused culture plays an important role in being recognized by the Pittsburgh Post-Gazette as being a Top Workplace in the Pittsburgh region.

    7 days ago

    Insurance Claims Specialist HB West Virginia University Medicine

    Insurance Claims Specialist HB
    Monongalia County, WV

    Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

    30+ days ago

    Insurance Claims Specialist PB West Virginia University Medicine

    Insurance Claims Specialist PB
    Monongalia County, WV

    Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

    30+ days ago
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