- Norstella (Harrisburg, PA)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- Penn Medicine (Bala Cynwyd, PA)
- …Acquires and maintains a working knowledge of Microsoft Outlook, Excel and Word, payer websites, document imaging, Correct Coding Software and the SMS system. + ... Performs duties in accordance with Penn Medicine and entity values, policies, and procedures. + Other duties as assigned to support the unit, department, entity, and health system organization. Education or Equivalent Experience: + HS Diploma/GED (Required). +… more
- Penn Medicine (Lancaster, PA)
- …required documentation in the electronic health record according to regulatory, payer , and departmental documentation standards. + Attends scheduled staff meetings ... and participates in the planning, development, implementation, and quality improvement of behavioral health services. JOB REQUIREMENTS MINIMUM REQUIRED QUALIFICATIONS: + Master's degree in Social Work, Psychology or a related field. (Higher levels of training… more
- Penn Medicine (Radnor, PA)
- …complete, accurate, and timely clinical and financial information required for payer reimbursement. + Provides education to patients and clinical practices regarding ... patient insurance coverage as it relates to their discharge medications. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system… more
- Penn Medicine (Philadelphia, PA)
- …of reimbursement systems + Extensive knowledge of federal, state, and payer -specific regulations and policies pertaining to documentation and coding + Extensive ... knowledge of treatment methodology, patient care assessment, data collection techniques and coding classification systems is necessary + Serve as a resource on DRG issues Credentials: + RHIA or RN (Preferred) + CCDS or CDIP or RN (Preferred) Education or… more
- Publicis Groupe (Philadelphia, PA)
- …ideally across a diverse set of conditions, disease states, and audiences (DTC, HCP, Payer , etc.) + Understands the total marketing process and the strategic role of ... media + In-depth understanding of the role of media channels in a plan + Expertise in various media research tools and software + Proactively self-educates on PHM, Publicis Groupe, and client business functions, capabilities, tools, and processes **Managing &… more
- Penn Medicine (Philadelphia, PA)
- …meetingsUtilization Management: Adheres to guidelines to satisfy 3rd party payer requirements Educates team in appropriate documentation to reflect Intensity ... of service (IS) / Severity of Illness (SI) and plan of care Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow; elevates issues appropriately Enters all review activity in Canopy concurrently Accounts for all… more
- Penn Medicine (Philadelphia, PA)
- …years Six months of prior Pharmacy experience in a retail/outpatient pharmacy or payer environment. (Preferred) We believe that the best care for our patients starts ... with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region.… more
- Penn Medicine (Philadelphia, PA)
- …meetingsUtilization Management: Adheres to guidelines to satisfy 3rd party payer requirements Educates team in appropriate documentation to reflect Intensity ... of service (IS) / Severity of Illness (SI) and plan of care Proactively addresses level of care issues to ensure appropriate care settings and timely patient flow elevates issues appropriately Enters all review activity in Canopy concurrently Accounts for all… more
- Penn Medicine (Philadelphia, PA)
- …care services, including medication + Maintains up to date knowledge of third payer requirements and the criteria for service referrals. + Counsels and educates ... patients/families to understand the benefits of and accept referrals to specialized health care staff and services. + Provides instruction to patients/families to promote and improve quality of care + Maintains a working knowledge of the resources available in… more