NewChief Medical Officer, Family Hospice UPMC Southwestern PAChief Medical Officer, Family HospiceSwissvale, 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.
Manager, 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.
Coder 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.
Hierarchical 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.
Coder II, Profee (ENT Coding University of Pittsburgh Medical CenterCoder II, Profee (ENT CodingPARemoteGraduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.
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.
Technology 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.
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.
Security 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.
Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark) PNC BankSoftware Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark)Pittsburgh, PennsylvaniaAmazon SageMaker, Amazon Web Services (AWS), Apache Spark, Application Development, Business Management, Customer Solutions, Design, Group Problem Solving, Process Improvements, Release Management, Software Solutions, User Experience (UX) Design Competencies . 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.
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.
NewMEDICAL ASSISTANT-OCCUPATIONAL MEDICINE Independence Health SystemMEDICAL ASSISTANT-OCCUPATIONAL MEDICINEGreensburg, PAConducts spirometry, eye examinations (Titmus) breath alcohol testing, Department of Transportation Drug screens, Urine dips, Hair testing, rapid urine drug screening, glucometer readings, audiometry, EKG's, and fit testing for clients. Performs direct patient care activities, such as lab tests, medication/immunization administration, phlebotomy application of durable medical equipment and other treatments under the direction of the manager of Occupational Medicine and/or the physician in preparation for the patients examination and treatment.
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.
Supervisor 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.
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.
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.
Coder I - Technical University of Pittsburgh Medical CenterCoder I - TechnicalPADetermine 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.
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.
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.
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.
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.
NewEpic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu LtdEpic Resolute Hospital Billing Associate AnalystPittsburgh, PA$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. The wage range for this role 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.
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.
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.
NewNurse Practitioner or Physician Assistant- Inpatient Domain (A) Critical Care Highmark IncNurse Practitioner or Physician Assistant- Inpatient Domain (A) Critical CareJefferson Hills, PAThis 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. Facilitates seamless communication and coordination of patient care activities with patients, families, community health services, and the entire interdisciplinary healthcare team to ensure continuity of care and optimal patient experience.
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.
NewNurse Practitioner or Physician Assistant - Outpatient Domain (A) - Cardiology Highmark IncNurse Practitioner or Physician Assistant - Outpatient Domain (A) - CardiologyPittsburgh, 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 (30%). 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.
NewNurse Practitioner or Physician Assistant - Pulmonary and Critical Care Medicine Inpatient Domain (A) Highmark IncNurse Practitioner or Physician Assistant - Pulmonary and Critical Care Medicine Inpatient Domain (A)Jefferson Hills, PAThis 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. Facilitates seamless communication and coordination of patient care activities with patients, families, community health services, and the entire interdisciplinary healthcare team to ensure continuity of care and optimal patient experience.
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 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.
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.
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).
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.
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.
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.
NewTechnology Engineer Sr - Full Stack Lead PNC BankTechnology Engineer Sr - Full Stack LeadPittsburgh, PennsylvaniaAgile Methodology, Artificial Intelligence Technologies, Competitive Advantages, Customer Solutions, Design, Enterprise Architecture Framework, Generative AI, Machine Learning (ML), Risk Assessments, Software Testing, Spring Boot, Technical Knowledge Competencies . Drive the adoption of Generative AI and AI-assisted software development capabilities throughout the Software Development Lifecycle (SDLC), including requirements analysis, solution design, development, test automation, documentation, code reviews, release readiness assessments, troubleshooting, and production support.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystPittsburgh, PA$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. 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.
Payment 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.
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.
NewTechnology Engineer Sr - Full Stack Lead The PNC Financial Services Group IncTechnology Engineer Sr - Full Stack LeadPittsburgh, PADrive the adoption of Generative AI and AI-assisted software development capabilities throughout the Software Development Lifecycle (SDLC), including requirements analysis, solution design, development, test automation, documentation, code reviews, release readiness assessments, troubleshooting, and production support. Agile Methodology, Artificial Intelligence Technologies, Competitive Advantages, Customer Solutions, Design, Enterprise Architecture Framework, Generative AI, Machine Learning (ML), Risk Assessments, Software Testing, Spring Boot, Technical Knowledge.
Hospice 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.
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.