- St. Luke's University Health Network (Allentown, PA)
- …to e nsure pr op erre imburs e ment. + Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure ... ensure correct process is followed for proper documentation and billing in Epic. + Notifies all external providers of...peer to peer info for scheduling. + Review payer medical policies and contact the health plan's UR department… more
- CVS Health (Monroeville, PA)
- …and every day. **Position Summary** The role is responsible for managing follow -up and reconciliation of prescription medication payments, with a focus on resolving ... and contributing to process improvement initiatives. + Conduct third-party follow -up related to prescription medication dispensing via phone, internet, and… more
- Owens & Minor (Philadelphia, PA)
- …success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k), ... special project lead on assigned accounts. + Will support billing for technology services and submit requests to bill...Demonstrated persuasion, negotiation, and influencing skills. + Ability to follow up and follow through to ensure… more
- Cardinal Health (Harrisburg, PA)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- WellSpan Health (Chambersburg, PA)
- …Function: Under the direction of the Coding Manager, functions as a medical coder for the Health Information Management Department to review, retrieve, collect, ... guidelines with 95% accuracy or higher. 7. Works cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete … more
- WellSpan Health (York, PA)
- …+ 1 year Related experience. Required + 2 years Revenue Cycle/Healthcare Billing & Insurance Follow up Experience. Preferred **Licenses:** + Certified ... prompt, efficient and accurate resolution of all Hospital and Professional Billing insurance credits in accordance with established policies and procedures.… more
- University of Pennsylvania (Philadelphia, PA)
- …of services to students and their families in the areas of registration, billing , and financial aid in a call center environment utilizing various software systems ... order to resolve issues/inquiries as they relate to academic records, billing , student accounting, loans, financial aid applications, payment methods, dining,… more
- Highmark Health (Harrisburg, PA)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops… more
- Sevita (Philadelphia, PA)
- …every day. Join us today, and experience a career well lived. **Behavior Specialist (Clinical Specialist )** **50K-55K** Looking for rewarding work in an ... to stay abreast of changes in service plans; maintain confidentiality; complete billing documentation as applicable; organize and record all documentation in an… more
- Penn Medicine (East Petersburg, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... and scheduling with External Providers. Ensures compliance with hospital policies, billing guidelines, and payer policies. + Qualified individuals must have the… more