- J&J Family of Companies (Horsham, PA)
- …A minimum of 5 years total healthcare business experience (eg pharmaceuticals, medical devices, payer ) is required + A minimum of 2 years of marketing or similar ... experience is preferred + Healthcare experience is preferred. + Excellent communication skills (written and oral) and experience presenting to senior management is required. + Strong cross-functional leadership, collaboration and negotiation skills is… more
- Penn Medicine (Philadelphia, PA)
- …meetings Utilization Management:Adheres to guidelines to satisfy 3rd party payer requirementsEducates team in appropriate documentation to reflect Intensity of ... service (IS) / Severity of Illness (SI) and plan of careProactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriatelyEnters all review activity in Canopy concurrentlyAccounts for all… more
- Organon & Co. (Plymouth Meeting, PA)
- …as well as IDN-owned medical groups, specialty pharmacy, infusion centers, payer , and home-infusion. + _Community Oncology Clinics and Physician Owned-Infusion ... Centers:_ large, organized medical groups and other private infusion centers. + _Federal accounts_ : Veterans' Affairs, Military Treatment Facilities & Department of Corrections. + _Other_ : The National Director may assign additional accounts, such as:… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …of experience in pharmaceutical or healthcare industries, with experience in payer and/or channel functions required + Performance tracking and quarterly business ... review development experience + Experience working in matrix management structure with project management, coordination and people management in a team environment + Proven track record in program management and cross-functional team leadership + Strong… more
- WellSpan Health (Chambersburg, PA)
- …payment or resolution of accounts in accordance with current government and payer regulations. Represents the company in a professional manner using excellent ... customer service practices, adherence to policies and standards of work in the performance of all duties. **Shift** Full Time, Monday-Friday 7:30 AM-4:00 PM **Duties and Responsibilities** **Essential Functions:** + Interviews patients or responsible… more
- St. Luke's University Health Network (Allentown, PA)
- …knowledge of reimbursement systems; extensive knowledge of federal, state, and payer -specific regulations and policies pertaining to documentation, coding and, as ... needed, medical necessity. Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred. WORK SCHEDULE: Day shift but may require other hours as necessary. Per diem position is flexible upon request and with prior agreement… more
- Select Medical (Camp Hill, PA)
- …+ Authors a monthly newsletter and other on demand process, policy and payer updates as needed. + Monitors and re-trains employees identified by Leadership. + ... Provides continued feedback to Leadership for all employees while involved in training. + Assists the IP CBO in maintaining the job duties of other team members when staff is absent. + Notifies and educates staff concerning new findings, problems, changes with… more
- Select Medical (Philadelphia, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + 1 Year of Medical Office Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Select Medical (Lancaster, PA)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339505/medical-front-office… more
- St. Luke's University Health Network (Hamburg, PA)
- …Verifies all insurance/self-pay patients through online eligibility or via contacting payer directly (phone or website). + Responsible for identifying, collecting, ... and recording point of service cash collections prior to or at time of service. Posting credit card payments in Epic or other application, collecting cash, closing the daily cash drawer, and preparing deposit for transport. + Responsible to accurately… more