Hiring Event 7.21.26 Patient Access Specialist - Pittsburgh, PA Ensemble Health PartnersHiring Event 7.21.26 Patient Access Specialist - Pittsburgh, PAPittsburgh, PA$17–$19.70 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistPittsburgh, PAPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Associate Specialist, Patient Access - PRN Ensemble Health PartnersAssociate Specialist, Patient Access - PRNPA$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist - Full Time Ensemble Health PartnersPatient Access Specialist - Full TimePA$17–$18.50 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Client Relationship Specialist Alera Group IncClient Relationship SpecialistMcMurray, PA$60,000–$75,000 / yearWe're seeking a Medicare Advisor & Client Relationship Specialist who will support an established Medicare Consultant while developing the client relationships, renewal knowledge, and business development capabilities needed to eventually manage and grow a Medicare book of business. The individual will work during AEP and throughout the year to support existing clients, assist with proactive outreach and meeting preparation, participate in new business appointments, and assume greater responsibility for new business production over time.
Client Relationship Specialist Alera GroupClient Relationship SpecialistMcMurray, PennsylvaniaFull timeWe’re seeking a Medicare Advisor & Client Relationship Specialist who will support an established Medicare Consultant while developing the client relationships, renewal knowledge, and business development capabilities needed to eventually manage and grow a Medicare book of business. The individual will work during AEP and throughout the year to support existing clients, assist with proactive outreach and meeting preparation, participate in new business appointments, and assume greater responsibility for new business production over time.
RN (Full Time)- Cath Lab, AHN Wexford Highmark IncRN (Full Time)- Cath Lab, AHN WexfordWexford, PAA registered nurse in the Cath Lab is proficient in the operation and maintenance of specialized Cath Lab equipment and ensures the accuracy and completeness of procedural documentation and participates in quality assurance activities to maintain optimal procedural outcomes. Job Description: GENERAL OVERVIEW: This job performs nursing care during cardiac catheterization procedures, including precise instrument handling, accurate medication administration, and proficient monitoring of hemodynamic parameters.
NewSupervisor, Patient Access (410068) Pantherx Specialty LLCSupervisor, Patient Access (410068)Pittsburgh, PAIn every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients. Supports management with regularly scheduled training classes with staff to ensure staff is abreast of all new therapies, drugs, and any new changes.
Patient Care Coordinator (590078) Pantherx Specialty LLCPatient Care Coordinator (590078)Pittsburgh, PAIf you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
Patient Care Coordinator (Mandarin) Pantherx Specialty LLCPatient Care Coordinator (Mandarin)Pittsburgh, PAHealthcare interpreter certification from a nationally recognized institute (Certification Commission for Healthcare Interpreters or the National Board of Certification for Medical Interpreters) or willingness to become certified. This position redirects calls to pharmacists as needed, communicates with healthcare providers in a confidential manner, and adheres to applicable healthcare regulations.
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.
CareLogic Clinical System Consultant enkompas Technology SolutionsCareLogic Clinical System ConsultantSewickley, PARemoteThis role collaborates with clinical, billing, compliance, and operational teams to improve workflows, enhance reporting capabilities, ensure regulatory compliance, and maximize system utilization across behavioral health organizations. A CareLogic Clinical System Consultant provides functional and technical expertise for the implementation, optimization, training, and support of the CareLogic electronic health record (EHR) platform.
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.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistPittsburgh, PennsylvaniaSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
NewPharmacy Benefit Verification Specialist Onco360 PharmacyPharmacy Benefit Verification SpecialistPittsburgh, PennsylvaniaSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Patient Access Specialist I (Pediatric Allergy and Immunology University of Pittsburgh Medical CenterPatient Access Specialist I (Pediatric Allergy and ImmunologyPittsburgh, PAThis role will be responsible for answering patient calls, cheduling patient appointments, and patient communication for appointment coordination in conjunction with other multidisciplinary teams across CHP and the Call Center via EMR systems. Able to interact with a variety of external and internal constituents, including patients, patients' families, internal physicians, referring physicians or their clinical/office staff, insurance companies, nurses.
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.
Professional Coding Specialist III - Cardiothoracic Surgery West Virginia University MedicineProfessional Coding Specialist III - Cardiothoracic SurgeryPAAccurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
BIM Specialist Actalent IncBIM SpecialistPittsburgh, PA$40–$70 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. Translate design intent contract documents or 3D design models of Plumbing, Mechanical and HVAC systems into fabrication and installation detail Building Information Models utilizing BIM fabrication modelling software.
PATIENT SERVICES ASSOCIATE - WOMENS HEALTH Independence Health SystemPATIENT SERVICES ASSOCIATE - WOMENS HEALTHNorth Huntingdon, PAActively 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.