Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorPA$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Indiana) Alexion Pharmaceuticals IncUS Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Indiana)Wilmington, DEMaintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters. Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.
Value & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate Director Merck & Co IncValue & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate DirectorNorth Wales, PA$156,900–$247,000 / yearRequired Skills: Active Listening, Actuarial Science, Big Data, Business Acumen, Business Intelligence (BI), Database Design, Data Engineering, Data Modeling, Data Science, Data Visualization, Detail-Oriented, Health Data Analytics, Medical Insurance Coding, Object-Oriented Design (OOD), Object Oriented Modeling, Object-Oriented Programming (OOP), Software Development, Stakeholder Relationship Management, Trend Knowledge, Version Control. Bachelor's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 10 years of relevant job experience; Master's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 8 years of relevant job experience; PhD (computer science, physics, mathematics, actuarial science, or equivalent) with 5 years of relevant job experience.
Orthotist EnovisOrthotistCamden, New JerseyIncludes American Board forCertification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Orthotist Enovis CorpOrthotistCamden, NJIncludes American Board for Certification (ABC) Certified Orthotist (CO), Certified Prosthetist Orthotist (CPO), Board of Certification (BOC) Certified Orthotist (BOCO), National Board Certification for Occupational Therapy (NBCOT) Registered Occupational Therapist (OTR), or Federation of State Boards of Physical Therapy (FSBPT) Licensed Physical Therapist. This is an incredible opportunity to work in a fast-moving, patient-focused setting amongst extraordinarily talented professionals dedicated to making life-changing innovation possible in orthopedics and beyond with brands such as DonJoy, Aircast, ProCare and Exos.
Associate Optometrist - LensCrafters - Plymouth Meeting, PA EssilorLuxottica SAAssociate Optometrist - LensCrafters - Plymouth Meeting, PAPlymouth Meeting, PAIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Insurance Specialist Cooper University HospitalInsurance SpecialistCAMDEN, New JerseyFull timeOur extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Short Description: An Insurance Specialist will be conducting interviews with patients and families to ensure insurance coverage, which includes obtaining benefit information and pre-certification.
Financial Screening Navigator Cooper University HospitalFinancial Screening NavigatorCamden, New JerseyFull timeShort Description: Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Vice President, Market Access & Strategy, Commercial Cabaletta Bio IncVice President, Market Access & Strategy, CommercialPhiladelphia, PAPipeline & Business Development Support Partner with New Product Planning (NPP) on future indications and business development opportunities. Market Research & Insights Oversee payer and hospital market research to inform pricing, access strategy, and evidence needs.
Part Time Physician Assistant (PA-C) in Dermatology Private Practice Philadelphia Center for DermatologyPart Time Physician Assistant (PA-C) in Dermatology Private PracticeJenkintown, PAPart timeWe are an established, physician‑owned dermatology clinic seeking a part‑time Physician Assistant who is clinically strong, personable, and eager to grow with our team. Order and interpret laboratory tests, imaging, and pathology reports ; communicate results promptly to patients.
Financial Screening Navigator Cooper University Health CareFinancial Screening NavigatorCamden, NJFinancially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Insurance Specialist Cooper University Health CareInsurance SpecialistCAMDEN, NJOur extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. An Insurance Specialist will be conducting interviews with patients and families to ensure insurance coverage, which includes obtaining benefit information and pre-certification.
Trauma Registrar Christiana Care Health SystemTrauma RegistrarDE$22.74–$34.11 / hourAs a Trauma Registry Data Collection Specialist, you will play a vital role in supporting our nationally recognized trauma program by ensuring the accuracy and integrity of trauma data used to drive quality improvement, performance measurement, accreditation, research, and ultimately, better patient outcomes. In this position, you'll work closely with Trauma Program leadership and clinical experts to help evaluate outcomes, identify trends, and support initiatives that improve care for critically injured patients.
Revenue Cycle Specialist Wills Eye HospitalRevenue Cycle SpecialistPhiladelphia, PennsylvaniaThe Revenue Cycle Specialist is responsible for providing top-notch billing services while ensuring accuracy and efficiency in managing inpatient claims. Accurately bills inpatient medical claims within established timelines and initiates dialog with payors, patients and departments.
Pfs/Sbo Manager FutureSoft Consulting IncPfs/Sbo ManagerDelaware City, DEAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
PFS/SBO Manager FutureSoft ConsultingPFS/SBO ManagerDelaware City, DelawareAs the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemotePARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
HIM Coder - Remote/Mt. Holly (FT) CCS Required Virtua Health IncHIM Coder - Remote/Mt. Holly (FT) CCS RequiredMt. Holly, NJRemote$26.22–$40.65 / hourPosition Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview.
Supervisor of Revenue Cycle and Credentialing Henry J. Austin Health Center IncSupervisor of Revenue Cycle and CredentialingTrenton, NJ$65,400–$94,200 / yearThe Supervisor monitors billing, collections, audits, credentialing, recredentialing, payer enrollment, denial trends, Medicaid WRAP activity, LOA (NJ state letter of agreement) billing processes, and reimbursement performance while supporting workflow optimization within Dental and Medical EMR or software platforms Working collaboratively with Patient Access, Clinical Operations, Finance, IT, and external partners, the Supervisor identifies and resolves operational and reimbursement issues, promotes data integrity and reporting accuracy, and supports continuous process improvement to enhance organizational performance and revenue outcomes. The Supervisor of Revenue Cycle and Credentialing works under the direction of the Director of Revenue Cycle and Credentialing to oversee daily revenue cycle and provider credentialing operations, ensuring accurate billing, timely payer enrollment, reimbursement integrity, and compliance with federal, state, payer, HRSA, and NCQA requirements.
Clinical Data Manager Calsoft LabsClinical Data ManagerKing of Prussia, PA$140,150 / yearCollaborate with cross-functional study teams to resolve data-related issues, integrate feedback, and align data management practices with study protocols. Design and Implement detailed data management plans covering coding, data transfer, discrepancy management, workflow, reporting, and data validation.