Accounts Receivable Specialist I St. Luke's University Health NetworkAccounts Receivable Specialist ISellersville, PAIndividually 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. JOB DUTIES AND RESPONSIBILITIES: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
DRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthDRG Downgrade Denial Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$20.10–$26.13 / hourKnowledge and Skills: Working knowledge of DRG downgrade processes and third-party audit workflows Strong understanding of hospital billing systems and payer claim adjudication processes Ability to perform detailed tracking, documentation, and inventory management across multiple appeal levels Strong organizational skills and attention to detail Ability to perform root-cause analysis and identify recurring downgrade drivers Strong written communication skills for documentation and internal coordination. Ensures DRG downgrade cases are properly triaged, routed, documented, tracked, and submitted in accordance with payer and auditor requirements, while partnering with clinical resources to support successful appeal outcomes and denial prevention.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantPrinceton, NJ$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Patient Account Rep Follow Up Cooper University Health CarePatient Account Rep Follow UpCamden, NJMedical billing/coding knowledge; Comfortable with MS Office Suite (i.e. Excel, Word, PowerPoint); Excellent oral and written communication skills; Ability to successfully interact with insurance carriers, patients, and administration. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Patient Account Rep Follow Up Cooper University HospitalPatient Account Rep Follow UpCamden, 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. Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistYeadon, PARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
Dental Office Manager DELAWARE RIVER DENTISTRY PLLCDental Office ManagerNew Hope, PAFull timeNew Hope Solebury Dental Associates, located in the beautiful, small river town of New Hope, Pennsylvania, is searching for a Dental Office Manager to join our team of dedicated professionals. We seek an eager to learn and team focused Office manager who excels in: Having a service-minded, 5-star approach to patient care.
Clinical Documentation Improvement Specialist Thomas Jefferson UniversityClinical Documentation Improvement SpecialistPAJefferson 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. 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.
Central Scheduling Specialist - Per Diem Penn MedicineCentral Scheduling Specialist - Per DiemPlainsboro, NJ$17.75–$28.33 / hourDetermines reason for patient visit and possesses and utilizes knowledge of provider’s schedule and protocols as well as scheduling guidelines to schedule accurate and complete general appointment special appointment and emergency appointments. 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.
Senior Forward Deployed Engineer, ServiceNow Deloitte Touche Tohmatsu LtdSenior Forward Deployed Engineer, ServiceNowPhiladelphia, PA$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Software Development Manager TyndaleSoftware Development ManagerPipersville, PennsylvaniaCoach and support the development team and contractors to create and maintain enterprise applications and systems that meets the service level agreement requirements of the business and supports the applications and solutions required to operate day-to-day. Qualifications: Bachelor’s degree in information technology or computer science required; equivalent experience demonstrating comparable knowledge, skills, and abilities in the relevant functional area may be considered in lieu of a directly related degree.
Senior Software Engineer ParetoHealthSenior Software EngineerPhiladelphia, PAWe will not ask you to provide personal or financial information, including, but not limited to, your social security number, online account passwords, credit card numbers, passport information, and other related banking information until we begin onboarding activities, which will be coordinated by a member of the ParetoHealth People Ops Team with an @paretohealth.com email address. By combining data-driven insights, innovative risk management, and the collective purchasing power of our community, we enable employers to reduce volatility, improve long-term outcomes, and reinvest savings into their businesses and their people.
Acceleration Center - Full-Stack Cloud Engineer- Senior Associate PwCAcceleration Center - Full-Stack Cloud Engineer- Senior AssociatePhiladelphia, PA$77,000–$202,000 / 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 Full-Stack Cloud Engineer, you will be at the forefront of software and product innovation, developing transformative software solutions that drive digital transformation and enhance business performance.
Software Development Manager Tyndale Enterprises IncSoftware Development ManagerPACoach and support the development team and contractors to create and maintain enterprise applications and systems that meets the service level agreement requirements of the business and supports the applications and solutions required to operate day-to-day. Bachelor's degree in information technology or computer science required; equivalent experience demonstrating comparable knowledge, skills, and abilities in the relevant functional area may be considered in lieu of a directly related degree.
Clinical Data Manager SystimmuneClinical Data ManagerPrinceton, NJ$100,000–$170,000 / yearIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Marketing Director, Biomarkers / Director of Marketing, Molecular Diagnostics Jacobs Management GroupMarketing Director, Biomarkers / Director of Marketing, Molecular DiagnosticsPrinceton, NJA growing uro-oncology diagnostics company is seeking a Marketing Director to lead strategy for a newly acquired biomarker portfolio: physician adoption, market access, and launch, built from scratch. 8-12 years commercial marketing experience in molecular diagnostics, medical devices, pharma, or precision medicine, including field sales.
Clinical Data Manager ACL DigitalClinical Data ManagerKing of Prussia, PACollaborate with cross-functional study teams to resolve data-related issues, integrate feedback, and align data management practices with study protocols. JOB DUTIES: Duties: Develop, configure, and verify clinical databases and electronic data capture (EDC) systems, including case report forms (CRFs).
medical billing specialist Skinja Medspa Corporationmedical billing specialistMedford, NJFull timeWe are seeking a medical billing specialist to manage, oversee, and assist the doctor and one secretary with patient billing, collections, verifying insurance eligibility and claims for our practice. About Us: At Medford Longevity Center, we provide exceptional pain management relief through our unique technique dry point needling.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerPA$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Informatics Consultant CVS Health CorpInformatics ConsultantNJ$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.