- St. Luke's University Health Network (Bethlehem, PA)
- …all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any barrier's patient ... appointments according to department protocols. Completes insurance referrals or prior authorizations when necessary. Follow up with specialty offices and… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …(RN) who is self- directed and possesses effective skills in clinical assessment, critical thinking, problem resolution, and interpersonal relationships and ... provided to the veterans promptly, safely, courteously, and compassionately by verifying documentation of patient notification within seven (7) calendar days of the… more
- VetsEZ (PA)
- …VA Health Connect, a Department of Veterans Affairs initiative modernizing clinical contact centers. This role will support implementation planning, documentation ... Responsibilities: + Translate product vision into user stories, features, and documentation . + Support JIRA-based requirement tracking and sprint documentation .… more
- Penn Medicine (Lancaster, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... by TJC, DOH, CMS. + Maintain filing system and documentation for completed work orders for compliancy. + Set-up...affected departments. + Trace mechanical, electrical and plumbing utilities prior to utility shutdowns. + Ensure work orders are… more
- UPMC (Pittsburgh, PA)
- …HCPCS and Modifiers. **Responsibilities:** + Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard ... the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. + Utilize computer applications and… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …that facilitate access to prescription medications, including benefit verifications, non- clinical case management, prior authorization and appeal support, ... programs with budgets under $10M, ensuring optimal use of program documentation and training materials. The Manager partners with internal stakeholders to… more
- Guthrie (Sayre, PA)
- …with various stakeholders to ensure adequate supply levels, accurate documentation , and efficient utilization of resources. The Perioperative Inventory Analyst ... and opportunities for improvement in inventory management practices. + Documentation : Maintain documentation related to inventory transactions, including… more
- Geisinger (Wilkes-Barre, PA)
- …the hospital and community agencies or facilities for the exchange of clinical and referral information. Identifies high risk patients from a psychosocial/financial ... care for each participant. + Participates in the monitoring, documentation , and communication of the participant's response to the...and reviewing of all referrals for accuracy and content prior to discharge. + Reports potential risk or quality… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …treatment team planning process as well as complete and concurrent documentation in the medical record. The Psychiatrist will adhere to evidence-based ... and provide any information required to facilitate authorization of medications. Documentation - Utilize templates endorsed by the KidsPeace Executive Vice President… more
- Evolent (Harrisburg, PA)
- …+ Understanding of healthcare data formats (eg, eligibility, claims, configuration, authorizations, clinical data) is preferred + Prior Experience with SQL, ... within the existing and modernized platform + Manage the documentation and intake of technical debt items from the...user acceptance + Support creation of training and product documentation (release notes, user guides) to ensure user understanding… more