- Penn Medicine (Philadelphia, PA)
- …office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses an in-depth knowledge of ... training programs. **Responsibilities:** + Access assignments via work queues to review insurance information registered for accuracy and completeness and places… more
- Dragonfly Health (Wexford, PA)
- …in the incumbent's performance objectives as outlined by the incumbent's immediate supervisor or manager._ 1. Review , interpret, and advise on physician ... ensuring accuracy, clarity, and regulatory compliance 6. Conduct drug utilization reviews and maintain complete, compliant medication profiles, supporting medication… more
- Penn Medicine (Lancaster, PA)
- …entering patient medication histories into the hospital's information system for utilization by health care professional during the hospital encounter. JOB ... instructions is essential. + Medication and Allergy Documentation + Review , collect, update, and enter pre-admission medications into the...health system. + Perform other duties as assigned by supervisor or manager. + Ability to learn new tasks… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …+ Experience in a combination of home care management, case management review , utilization review , social service support, insurance reimbursement, ... Assist with Benefit Investigations upon program need. Work directly with Program Supervisor to resolve escalations with the team. Own escalations from receipt to… more
- CVS Health (Chambersburg, PA)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... information through oral communication + Any additional tasks as directed by Supervisor or Manager **Preferred Qualifications:** + 1+ years of related work… more
- CVS Health (Harrisburg, PA)
- …through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and ... the need for referral to clinical resources for assistance. - Consults with supervisor and others in overcoming barriers in meeting goals and objectives; presents… more
- Republic Services (Scottdale, PA)
- …and monitor all required testing, including sampling of monitoring wells; monitors utilization of cover material; review soil reports and provide information ... of a business unit by overseeing the activities of the Operations Supervisor - Landfill, Lead Operators, Operators and/or General Laborers, who are responsible… 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 trainees and department and track utilization of program specific funds. Submit documentation for supplemental pay processing… more
- Geisinger (Shamokin, PA)
- …all Revenue Management teams and departments including Practice Consultants, Utilization Management and Care Management, Providers, Geisinger departments, clinical ... collections, payment plans, or other arrangements. + Performs accounts receivable review for special pricing packages and ensures appropriate allocation of funds.… more
- University of Pennsylvania (Philadelphia, PA)
- …and performance evaluations of assigned staff. + Collect data on program utilization , outcomes, and satisfaction to evaluate effectiveness and make improvements. + ... collaboration with the Medical Director and Associate Medical Director develop, review , and revise patient care policies and procedures. Clinical Responsibilities +… more