• Clinical Service Specialist - Full Time

    Penn Medicine (Gap, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and...from patients, guests, or appropriate parties as needed to provide services. + Patient Liability and Point of Service… more
    Penn Medicine (09/04/25)
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  • Compliance Analyst I

    Penn Medicine (Bala Cynwyd, PA)
    …for responding to inquiries, requests for consultation and developing content for provider education sessions. Additionally, the CA I will prepare reports of audits ... within a timely fashion as well as individually conduct New Provider Education sessions complete with prepared materials. Responsibilities: + Performs systematic… more
    Penn Medicine (08/08/25)
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  • Clinical Service Specialist (Part time, Day shift)

    Penn Medicine (Elizabethtown, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... and or high patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and outbound calls to or… more
    Penn Medicine (08/07/25)
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  • Registered Office Nurse (RN), The Surgical Group,…

    Penn Medicine (Lancaster, PA)
    provider office visits, nurse visits, and telephone triage. Collaborates with Physician and Advanced Practice Providers (APPs) to provide patient care ... assessments, focusing on physiologic, psychological, and cognitive functions, through patient/ provider office visits, nurse visits, and telephone triage. Collects… more
    Penn Medicine (08/07/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the provider query process, by being the single point of contact with the ... provider community. Assist the Revenue Cycle Manager by completing...assignment to a Coding Quality Specialist to query the physician for the needed documentation. + Promptly and accurately… more
    Penn Medicine (09/03/25)
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  • Ambltry & Med Grp Srv Mkt Dir

    LifePoint Health (Johnstown, PA)
    …Conemaugh Health System, of Duke LifePoint Healthcare, is the largest healthcare provider in west central Pennsylvania, serving over a half-million patients each ... year through the Conemaugh Physician Group and Medical Staff, a network of hospitals,...responsible for the operational oversight and direction of assigned provider practice(s) and provider based clinic(s). The… more
    LifePoint Health (08/09/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the provider query process, by being the single point of contact with the ... provider community. Assist the Revenue Cycle Manager by completing...assignment to a Coding Quality Specialist to query the physician for the needed documentation. Promptly and accurately assigns… more
    Penn Medicine (08/07/25)
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  • Precert Care Manager (Overnight Shift)

    UPMC (Pittsburgh, PA)
    …approval for out of network service utilization. + Consults with appropriate physician advisors as needed for case collaboration and care planning. + Develops ... members who do not maintain regular contact with their behavioral health provider as recommended contributing to frequent crises, recidivism, and interfering with… more
    UPMC (08/30/25)
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  • RN - Clinic Registered Nurse - Ophthalmology

    Geisinger (Wilkes-Barre, PA)
    …with impact. Job Duties The Clinic RN provides primary nursing support to the physician and patient to assist in the diagnosis and treatment of the patient's ... as clinic lead providing oversight of clinic flow and non- provider staff. + Triages patient sick calls to facilitate...our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members… more
    Geisinger (08/28/25)
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  • Clinical Transformation Director

    Highmark Health (Harrisburg, PA)
    …the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership, development, and direction of enhanced ... work with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary, and key internal/external stakeholders.… more
    Highmark Health (08/21/25)
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