- Highmark Health (Harrisburg, PA)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They… more
- Cognizant (Harrisburg, PA)
- …technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ... is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9… more
- Magellan Health Services (Bethlehem, PA)
- …Interacts with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns regarding ... Counseling. General Job Information Title Lead Care Manager, Autism - PA ( Remote , Yardley/Bethlehem areas) Grade 26 Work Experience - Required Behavioral Health Work… more
- Liberty Healthcare Corporation (Pittsburgh, PA)
- …consulting opportunity with Liberty Healthcare Corporation. Liberty Healthcare is a physician -owned organization with three decades of public health experience. We ... receive high quality healthcare services, Liberty Healthcare maintains a panel of physician specialists who are called upon occasionally to conduct quality reviews… more
- UPMC (Pittsburgh, PA)
- …to ReconNet reconciliation software- Prepares report of total daily deposits and posted physician payments to send to management .- Replies to CRM (patient payment ... monthly.- Each staff member is responsible for an average of 150-200 physician worksite reconciliation of UPAY entry (payments accepted) to the Bank deposit.… more
- Geisinger (Danville, PA)
- …referring physicians to support high-quality patient care. Geisinger is a physician -led healthcare system recognized for its commitment to innovation, quality care, ... radiologists can thrive. Job Duties Highlights of a Career at Geisinger: + Physician -Led Culture: Empowering doctors to lead care teams and shape clinical practices.… more
- Cordis (PA)
- …data, sales reports) to drive high-impact decision-making. + Analyze physician -level, account-level, and market-level data to identify growth opportunities, ... (eg, IQVIA, DRG, CMS) + Knowledge of cardiovascular therapeutic areas and hospital/ physician dynamics preferred + High ethical standards with a focus on compliance… more
- Highmark Health (Harrisburg, PA)
- …functions and other duties as assigned. + May require floating/travel between physician office locations. QUALIFICATIONS: Minimum + High School / GED + Completion ... of a Medical Assistant Program **OR** 1 year of Medical Assistant **OR** 1 year in a direct patient care role, including vital signs. Candidate experience must align with expected clinical duties (ie, injections, phlebotomy, EKGs) + CPR - American Heart… more
- UPMC (Pittsburgh, PA)
- …(one part time), 2 Interventional Radiologists, 2 Nuclear Medicine/PET Radiologists, Physician extenders and several nurses + Option for an academic appointment ... if desired + Live in a great community while having the support of UPMC through teleradiology. The UPMC Department of Radiology is one of the largest academic departments in the country with over 184 Radiologists, 31 research faculty, 67 residents and fellows.… more
- Cognizant (Harrisburg, PA)
- …minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + ... Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare/Medicaid payment and coverage guidelines and regulations. + Must be able to work with minimal supervision. + 1 year of Facets experience.… more