- UPMC (Pittsburgh, PA)
- …Do you have experience with insurance and denials? UPMC is hiring a full-time Clinical Billing Specialist to support the Care Management department. This ... Friday during daylight hours. The position is eligible to work from home. The Clinical Billing Specialist serves as a clinical resource person for all… more
- Deloitte (Pittsburgh, PA)
- …wants to work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to ... and health system in the Southeast region. + Conduct Epic Hospital Billing application build, testing, refinement, and issue resolution, as well as coordination… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... position provides customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a… more
- UPMC (Pittsburgh, PA)
- Purpose: The Clinical Trial Coverage Analyst is responsible for ensuring the billing compliance and proper coverage of clinical trial procedures. This role ... that should be covered by the study sponsor. The specialist collaborates with clinical research teams, finance...departments, and compliance to ensure accurate financial planning and billing for clinical trials. This position works… more
- UPMC (Pittsburgh, PA)
- …The specialist maintains and adjusts financial data within the clinical trial management systems (CashFlow/OnCore) and ensures alignment with UPMC's PeopleSoft ... proficiency in OnCore CTMS and its financial modules and strong understanding of clinical research billing and sponsor contract terms + Excellent communication,… more
- UPMC (Wexford, PA)
- …guidelines are met. + Appropriately distribute/triage phone calls to other areas and/or clinical providers ( billing , nurse, operations lead, etc.). + Treat all ... UPMC Community Medicine Incorporated is hiring a casual Patient Access Specialist to assist Tri-Rivers at their call center in Wexford. This position is… more
- UPMC (Pittsburgh, PA)
- …codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Monitor ... billing performances to ensure optimal reimbursement while adhering to...unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.… more
- UPMC (Pittsburgh, PA)
- …+ Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. a { text-decoration: none; color: #464feb; } ... + Type of coding includes reconciling NCCI edits for clinical labs, clinic visits, emergency room visits, and observation...to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. High School or… more
- NTT DATA North America (Pittsburgh, PA)
- …from Maximo 7.6 to Maximo for Service Providers, with emphasis on clinical asset management, hospital facilities, service workflows, and compliance with healthcare ... Maximo for Service Providers: Exposure to service provider modules (SLAs, billing , contracts, work management) within healthcare or similar environments. Healthcare… more