- Prime Therapeutics (Harrisburg, PA)
- …to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation ... ranges from $94,000.00 - $160,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- UPMC (Pittsburgh, PA)
- …documentation pertaining to the UPMC Medical Education Annual Program Oversight Review (APOR) and anticipated required documents that will be requested during ... + Process expense submissions for the trainee and department and track utilization of program specific funds. Submit documentation for supplemental pay processing as… more
- Penn Medicine (Philadelphia, PA)
- …using established protocols + Validates financial responsibility prior to service utilization and completes an accurate financial interview at time of registration ... reports which may include the patient pre & post visit, charge review , and others as requested. Proactively prioritizes recovery of missing charges. **_Regulatory… more
- St. Luke's University Health Network (Allentown, PA)
- …denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. Remote ... + Prefer minimum of 2-5 years' experience in case management and/or utilization management. + Prefer financial experience related to appeal processes with insurance… more
- Sanofi Group (Swiftwater, PA)
- …audits and any other regulatory commitments. + Execute Batch Record Sections and Final Review in a timely manner in order to hit production targets. + Manage +QDCI ... through shift change huddles. + Manage personnel attendance using Labor Utilization Role-Based Schedule Tool, ADP, Workday. + Actively involved in onboarding… more
- Penn Medicine (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients about ... and procedures. + Completes mandatory education and training that includes review of age-specific needs, caring behaviors, and interpersonal skills as defined… more
- Sharecare (Harrisburg, PA)
- …techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also ... in the orientation and to take the pre and post tests to review competency during orientation. Yearly competency tests are required for all Sharecare clinicians.… more
- Fujifilm (Harrisburg, PA)
- …dissemination. Responsible in maintaining existing written documentation, periodic review , and Intranet postings. **Company Overview** At FUJIFILM Healthcare ... expected to possess an expert level understanding of Information Technologies and its utilization in a clinical environment. Emphasis is on the areas of Radiology,… more
- Merck (West Point, PA)
- …culture by reducing waste and constantly driving continuous improvement. Responsible to review and approve compliance documents, as per procedures or need. + Supply ... - Responsible for creating and sustaining a highly engaged workforce through utilization of + our company's Leadership Behaviors and Inclusion. Provide coaching on… more
- Fresenius Medical Center (Malvern, PA)
- …basis (IPPS and OPPS, ICD-10 and CPT updates) for outpatient coding. Quarterly review of AHA Coding Clinic. Attends or facilitates Quarterly Coding Updates and all ... excellent interpersonal skills + Knowledge of disease pathophysiology and drug utilization + Knowledge of MSDRG classification and reimbursement structures +… more