- Penn Medicine (Lancaster, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... of practice operations including: scheduling, registration, authorization referral, and billing coding functions. + In conjunction with physicians, practice… more
- WellSpan Health (York, PA)
- …of compliance with regulations, statistical compilation, and optimal reimbursement . **Duties and Responsibilities** **Essential Functions:** + Reviews physician ... ICD-10 diagnoses codes following established organizational guidelines and to support medical necessity + Follows Official Guidelines for Coding and Reporting using… more
- Highmark Health (Harrisburg, PA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- UPMC (Pittsburgh, PA)
- …experience. In this role, you will review clinical documentation within the medical record to ensure that all patient resource utilization, principal diagnosis, ... and OIG regulations. **Responsibilities:** + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that all documented principal… more
- FirstEnergy (Clark, PA)
- …functions including material review and paperwork verification. + Facilitating billing functions for line extension and applicable relocation work, including ... billing recommendations in non-routine scenarios. + Facilitating completion of...savings plan with matching employer contribution, a choice of medical , prescription drug, dental, vision, and life insurance programs,… more
- BriteLife Recovery (Hanover, PA)
- …verbal reports as requested. + Works collaboratively with the Director of Nursing, Medical Director, and BHT Supervisor to deliver excellent client care. + Works ... with Utilization Review Department to address billing needs. Responds to inquires from billing ...equivalent) strongly preferred. What we provide you!! + Tuition reimbursement opportunity + Health, Dental, Vision, and Life insurance… more
- Catalent Pharma Solutions (Philadelphia, PA)
- …work environment + Community engagement and green initiatives + Generous 401K match + Medical , dental and vision benefits + Tuition Reimbursement - Let us help ... financial records. This role involves managing account reconciliations, supporting invoice billing processes for Depot. Distribution, Storage, and other areas, and… more
- FirstEnergy (Oil City, PA)
- …functions including material review and paperwork verification. + Facilitating billing functions for line extension and applicable relocation work, including ... billing recommendations in non-routine scenarios. + Facilitating completion of...savings plan with matching employer contribution, a choice of medical , prescription drug, dental, vision, and life insurance programs,… more
- Gentiva (Lancaster, PA)
- …in a manner consistent with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of ... consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse...practice experience preferred + Practice experience with Part B billing + Able to work autonomously in an Advanced… more
- St. Luke's University Health Network (Allentown, PA)
- …and Point of Service cash collection for all services assigned to ensure proper reimbursement . The intent of this job description is to provide a summary of the ... op erre imburs e ment. + Responsible for reviewing medical necessity of genetic testing/infusion services in addition to...ensure correct process is followed for proper documentation and billing in Epic. + Notifies all external providers of… more