CT Technologist - GLH - Per Diem - Rotation GeisingerCT Technologist - GLH - Per Diem - RotationLewistown, PAInterpret technical factors to increase quality or speed of scan Maintain working knowledge to extract Pre-Cert Patient and Insurance information to schedule the exam in a timely manner Interface with ordering providers regarding correct exams to order, lab tests required and appropriate pertinent clinical information Maintain inventory management system for CT supplies and inventory. Maintains working knowledge of pharmacology to ensure lab results are obtained prior to scheduled exam - Determine possible drug interaction with IV contrast - Medications used during Cardiac scanning - Metformin and Glucophage based drugs for patients receiving IV contrast Maintain knowledge of physics to lower patient dose on CT scanner.
NewTravel L&D RN - $2,550 per week WCS Healthcare PartnersTravel L&D RN - $2,550 per weekState College, PAWCS Healthcare Partners is seeking dedicated and experienced registered nurses to join our Labor and Delivery unit. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)PARemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)PARemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
Senior Clinical Reimbursement Consultant (RN) LimitlessliSenior Clinical Reimbursement Consultant (RN)PAThe Senior Clinical Reimbursement Consultant partners with facility leadership to evaluate reimbursement processes, conduct on-site resident observations, validate MDS coding accuracy, identify clinical and operational opportunities, educate interdisciplinary teams, and implement innovative solutions that improve reimbursement integrity while supporting exceptional resident care. The Senior Clinical Reimbursement Consultant (RN) is a highly skilled clinical reimbursement expert responsible for optimizing Medicare Part A PDPM reimbursement, Pennsylvania Medicaid Case Mix (CMI), MDS coding accuracy, clinical documentation, regulatory compliance, and financial performance across multiple skilled nursing facilities.
Charge Master Analyst Sutter HealthCharge Master AnalystPA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Patient Care Coordinator BeltonePatient Care CoordinatorPennsylvaniaOur mission is rooted in Hearing Care for Life , where we prioritize building long-term relationships with our patients and supporting them on their journey to better hearing. We are a multi-clinic, patient-centered, hearing healthcare provider committed to improving the quality of life for our patients.
Manager Program Integrity - Prepayment Auditing , Geisinger Health Plan GeisingerManager Program Integrity - Prepayment Auditing , Geisinger Health PlanPennsylvaniaRemoteThe Manager leads a multidisciplinary team of clinical, coding, and audit professionals while partnering with internal stakeholders and external vendors to optimize claim review performance, cost savings opportunities, and provider engagement. The Prepayment Program Integrity Manager is responsible for the strategic and operational management of prepayment claims auditing programs designed to ensure payment and vendor accuracy.
Billing Specialist Clearfield EMS Penn Highlands HealthcareBilling Specialist Clearfield EMSPASubmit clean, accurate ambulance claims in a timely manner Ensure compliance with CMS ambulance billing guidelines Review documentation for medical necessity, PCS forms, narratives, and mileage Manage accounts receivable and aggressively follow up on unpaid claims Resolve denials, underpayments, and rejections Prepare and submit appeals as needed Post and reconcile payments accurately Identify trends in denials and underpayments and recommend corrective actions Communicate with operations regarding documentation deficiencies Track and report billing KPIs, including clean claim rate and A/R aging Assist with audits, payer requests, and compliance reviews Required Qualifications (Non-Negotiable) Minimum 1 year of ambulance/medical billing experience OR NAAC Certified Ambulance Coder Strong knowledge of: o Medicare and MA ambulance billing guidelines o Managed care plans o Levels of Service Billing requirements o PCS forms and medical necessity documentation o Modifiers, base rates, and mileage billing o Strong Working knowledge of ICD-10 diagnosis codes Proven experience with denial management and appeals Ability to independently manage A/R and follow-ups High attention to detail and strong organizational skills Knowledge of HIPAA and Patient Privacy and Compliance Laws. The Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up.
Lpn|Rn CommuConLpn|RnPennsylvaniaExperience working in a hospital or similar healthcare setting, providing care to patients of various ages and medical conditions. - Competency in performing physical examinations, including assessing vital signs, conducting screenings, and documenting findings.
Health Services Manager (IC), Evaluation & Management Policy Management – Aetna MPPS CVS HealthHealth Services Manager (IC), Evaluation & Management Policy Management – Aetna MPPSPennsylvaniaRemoteEquivalent years of experience defined by CVS Policy: If candidate has associate’s degree, additional 2 years of experience is needed; if candidate has no degree, additional 4 years of experience is needed. Leads the work and deliverables of multiple, complex programs, and supports business initiatives, that impact multiple processes, systems, functions, and products.
Clinical Documentation Improvement Specialist Thomas Jefferson UniversityClinical Documentation Improvement SpecialistNortheast Philadelphia, Pennsylvania10700 Knights Road, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.
Informatics Consultant CVS Health CorpInformatics ConsultantPA$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Authorization Representative Thomas Jefferson UniversityAuthorization RepresentativeMontgomery County, Pennsylvania1200 Old York Road, Abington, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
Account Representative/Cash Poster University of Pittsburgh Medical CenterAccount Representative/Cash PosterAltoona, PAPerform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians, and other departments within the organization. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and physicians regarding payment issues, establish reasonable payment arrangements and recommend adjustments according to UPMC policies.
Lead Software Engineer HealthPlanOne LLCLead Software EngineerPAThe Lead Software Engineer will collaborate with cross-functional teams to design, build, and enhance scalable solutions supporting agent sales and business operations, while driving best practices in software architecture, code quality, and agile delivery. NET (Core/9), with hands-on experience across a diverse suite of applications including Blazor, Razor Pages, legacy WebForms, WCF, and Worker Services.
Staff Software Development Engineer (.NET, Blazor, Unit Testing, Snyk) CVS HealthStaff Software Development Engineer (.NET, Blazor, Unit Testing, Snyk)PennsylvaniaDesigns, develops, and implements digital solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall technical direction and innovation of digital engineering projects. As a Staff Software Development Engineer in Medicare Technology, you will serve as a senior technical leader responsible for designing, developing, and delivering enterprise-scale solutions that support critical business capabilities across Medicare and healthcare technology platforms.
CDI Analyst WVU MedicineCDI AnalystPennsylvaniaThe Clinical Documentation Improvement (CDI) Analyst provides expertise to clinical documentation process improvement and data analytics teams, oversight committees, and senior leadership in the areas of data acquisition, integration, monitoring, interpretation, and analytic design. Participates as a team member to test applications; prepares system test scripts, uses automated software for testing, performs full range of testing methods, emphasizing ability of the system to meet functional and usability requirements.
Senior Infrastructure Technician (on-site) RTX CorpSenior Infrastructure Technician (on-site)State College, PAThis role involves designing, implementing, and maintaining the software infrastructure required for the operation and management of satellite ground systems, with a focus on automation, deployment, and monitoring. At RTX, the world's largest aerospace and defense company, 185,000 great minds are united by purpose and inspired to make a difference solving the world's most complex problems.
Practice Coordinator Mamardi RecruitingPractice CoordinatorPennsylvaniaBachelor's degree preferred with a minimum of 3 years experience in either information systems, patient business services, or staff development for a professional billing group or other health care environment or the equivalent combination of education and experience. Engage in open communications with UPP Management regarding information systems, third-party payer, and regulatory updates and/or enhancements and ensure appropriate training is provided to staff.