- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Coder II, PSD to support Tri-State Neuro Assoc/Ortho Spine Assoc located at 9100 Babcock Blvd, Pittsburgh, ... responsible for coding operative reports, working practice work queues, appealing claims , preregistering patient to verify insurance, possible front desk clinic… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Contact Center Specialist to support Groff Orthopaedics - UPMC located at 510 S. Aiken Avenue Suite EG EG ... registration (directions, parking information, and required preparation for appointment), billing, claims , and various patient related inquiries. + Identify and take… more
- Prime Therapeutics (Harrisburg, PA)
- …Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex ... and analysis to forecast future financial performance, analyze trends, and support strategic decision-making. + Prepare, evaluate, and deliver modeling for Request… more
- University of Pennsylvania (Philadelphia, PA)
- …of Pennsylvania seeks candidates for several Research Associate positions in the Academic Support Staff. This appointment will be initially for one (1) year and ... and machine learning methods for analyzing electronic health records (EHRs) data, claims data, and biobank data; and (2) collaboration on cutting-edge translational… more
- IQVIA (Wayne, PA)
- …working sessions, client role-playing scenarios, and real-time project shadowing and support . Competencies: CSIH seeks team members who demonstrate values that ... Prior healthcare data experience, including working knowledge of physician and patient claims ; IQVIA data preferred. + Prior working experience in Customer: Journey,… more
- Guthrie (Troy, PA)
- …contractual reimbursement requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as appropriate + Documenting ... the position works closely with the Care Coordination department to support data collection and aggregation associated with UM processes and operations.… more
- Walmart (Hazle Township, PA)
- …are aligned with company and regulatory standards for prescriptions and claims doctor and optician certificationslicensure and associate training Guides associates ... standards of integrity ethics and compliance models the Walmart values to support and foster our culture holds oneself and others accountable supports Walmarts… more
- The Salvation Army (Philadelphia, PA)
- …service plans for self-sufficiency with women from the New Day Drop-in Center. + Support clients in reintegration into the community to develop a sense of voice and ... + Assist the Program Manager with stats and reporting, including monthly review of claims data. + Participate in management of a 24/7 hotline for response to victims… more
- CVS Health (Harrisburg, PA)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based ... Bachelor's degree or equivalent experience. **This remote role does not support sponsorship at this time** **Anticipated Weekly Hours** 40 **Time Type**… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... coding-related issues. + Develop and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding professionals and be able… more