Financial Counselor (Full Time, Days. Bilingual Preferred) St. Luke's University Health NetworkFinancial Counselor (Full Time, Days. Bilingual Preferred)Quakertown, PAUtilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Business Office Coordinator - Gastrointestinal Endoscopy Center SCA HealthBusiness Office Coordinator - Gastrointestinal Endoscopy CenterChalfont, PennsylvaniaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Clinical Coder Level I HIM Inpatient Specialist (Full-Time, Remote) Penn MedicineClinical Coder Level I HIM Inpatient Specialist (Full-Time, Remote)East Petersburg, PARemotePosition Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Clinical Documentation Specialist (40 Hrs/Temple Physicians Inc.) Temple University Health SystemClinical Documentation Specialist (40 Hrs/Temple Physicians Inc.)Philadelphia, PAResponsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. The specialist provides valuable feedback to management for provider education and correction purposes, ensuring that patient records are complete and compliant with payer guidelines in a timely matter.
Wound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - PRNLansdale, PAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Program Director - Regional Compliance Officer University Health Services IncProgram Director - Regional Compliance OfficerKING OF PRUSSIA, PAStrong understanding of healthcare regulatory compliance generally and including but not limited to fraud waste and abuse laws, general knowledge of billing and coding requirements and physician compensation issues, conflicts of interest and general healthcare compliance matters Self-motivated, organized and able to function successfully in fast-paced, high volume work environment in publicly traded, Fortune 300 healthcare company. Collect data supporting these activities, reports findings to key leaders, follows up on corrective action to ensure improvements are made Create, deploy, and coordinate compliance education and training activities across assigned region including revisions concerning government announcements, changes in healthcare regulation, and changes to compliance processes in assigned region Perform other duties as assigned/required.
Wound Care Nurse - Lpn-Lvn Float - Full Time Project RestorixWound Care Nurse - Lpn-Lvn Float - Full TimeNorristown, PAWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Primary Care Physician – Virtual Primary Care Practice - Jefferson Health Thomas Jefferson UniversityPrimary Care Physician – Virtual Primary Care Practice - Jefferson HealthPhiladelphia, PennsylvaniaRemoteJefferson 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. 1101 Market, 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.
Director, Field Market Access Beam TherapeuticsDirector, Field Market AccessUnited$210,000–$260,000 / yearAs a key member of the commercial organization, this individual will play a critical role in supporting coverage and ensuring appropriate patient access for Beam's first commercial product, risto-cel, an investigational ex vivo gene therapy being studied for the treatment of Sickle Cell Disease. 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.
Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) Temple HealthClinical Documentation Specialist (40 hrs/Temple Physicians Inc.)Philadelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization.
SENIOR PHYSICAL THERAPIST - OUTPATIENT / NEUROLOGY - PART TIME (24hrs per week) Temple University Health SystemSENIOR PHYSICAL THERAPIST - OUTPATIENT / NEUROLOGY - PART TIME (24hrs per week)Philadelphia, PA403033'',''true'',''403033'',''false'',''Submission for the position: SENIOR PHYSICAL THERAPIST - OUTPATIENT / NEUROLOGY - PART TIME (24hrs per week) - (Job Number: 262274)'',''false'',''403033'',''false'',''true'',''SENIOR PHYSICAL THERAPIST - OUTPATIENT / NEUROLOGY - PART TIME (24hrs per week)'',''262274'',''!*!Independently evaluates and treats patients in an outpatient clinic setting. '',''Pennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Clinical Services'',''Clinical Services'',''Part-time'',''Part-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''403033'',''403033'',''true'',''403033'',''false'',''Submission for the position: SENIOR PHYSICAL THERAPIST - OUTPATIENT / NEUROLOGY - PART TIME (24hrs per week) - (Job Number: 262274)'',''false'',''403033'',''false'',''true''.
Clinical Charge Auditor Revenue Integrity DuBois CRC Penn Highlands HealthcareClinical Charge Auditor Revenue Integrity DuBois CRCDuBois, PACandidates must hold at least one active clinical license or certification in good standing Nursing: RN, BSN, LPN, LVN, Imaging/Radiology: ARRT (R), ARRT, CT, MR, VI/CI, ARDMS- Respiratory Therapy: RRT, CRT- Laboratory: MLS(ASCP), MT(ASCP), MLT(ASCP)- Therapies: PT/DPT, PTA; OT, COTA; CCC-SL, Knowledge of healthcare billing and practices, coding systems (ICD-10, CPT), and payor regulations. The Revenue Integrity Clinical Charge Auditor is responsible for reviewing and auditing clinical documentation and charge capture processes to ensure accurate billing and reimbursement for healthcare services.
Director of Patient Accounting The Children's Institute of PittsburghDirector of Patient AccountingPittsburgh, PennsylvaniaThis leader will hold monthly accounts receivable meetings with clinical leadership to provide timely and routine feedback on claim liquidation in a meaningful way to collaboratively enhance collections. After more than a century of the highest quality care and service to children and their families, we’re forever proud of our team members who don’t just make a career here – they make a difference.
Occupational Therapist Full Time The Children's Institute of PittsburghOccupational Therapist Full TimePittsburgh, PennsylvaniaThe Staff Therapist participates in interdisciplinary treatment programs, collaborates and consults with others to facilitate the delivery of therapy services; administers procedures necessary to process patient services; participates in training activities for family members and other professionals. After more than a century of the highest quality care and service to children and their families, we’re forever proud of our team members who don’t just make a career here – they make a difference.
NewAuthorization Specialist SchuylkillAuthorization SpecialistAllentown, PennsylvaniaFinally, Lehigh Valley Hospital- Cedar Crest, Lehigh Valley Hospital- Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital- Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position.
NewGovernment Programs A&G Resolution Specialist Capital Blue CrossGovernment Programs A&G Resolution SpecialistHarrisburg, PennsylvaniaFull timeRespond to customers appeals via telephone, correspondence, on-site, Fax, Secure IT, E-mail and personal interviews from individual customers, group administrators, providers, Capital BlueCross personnel, Host Plan personnel, attorneys, and outside entities working on the customer's behalf. Contacts the appropriate internal/external entities (e.g., groups, providers, Marketing, Legal, Host Plans, PBM, IRE, QIO, ALJ, CMS etc.) to obtain information and initiate necessary action.
Refund Specialist University Health Services IncRefund Specialisttredyffrin, PARemoteMaintains a working knowledge of CPT-4 and ICD-10 coding principles, government, managed care and commercial payers, payment posting, ERA processing, claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Accounts Receivable Specialist University Health Services IncAccounts Receivable SpecialistWAYNE, PARemoteWork experience: Experience (1-3 years minimum) working in healthcare revenue cycle Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes Understanding of the revenue cycle and how the various components work together preferred Excellent organization skills, attention to detail, research, and problem-solving ability. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Senior Revenue Cycle Analyst - Analytics University Health Services IncSenior Revenue Cycle Analyst - Analyticstredyffrin, PAAs a Senior Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Senior Revenue Cycle Analysts performing Analytics are responsible for reviewing and manipulating raw data and leveraging data analytics to identify and communicate trends and issues, combining revenue cycle expertise with advanced analytics capabilities to transform raw data into actionable insights, supporting strategic decision-making, and monitoring key performance indicators (KPIs).
Physical Therapist - Full Time The Children's Institute of PittsburghPhysical Therapist - Full TimePittsburgh, PennsylvaniaThe Physical Therapist participates in interdisciplinary treatment programs, collaborates and consults with others to facilitate the delivery of therapy services; administers procedures necessary to process patient services; participates in training activities for family members and other professionals. After more than a century of the highest quality care and service to children and their families, we’re forever proud of our team members who don’t just make a career here – they make a difference.