Senior Clinical Reimbursement Consultant (RN) LimitlessliSenior Clinical Reimbursement Consultant (RN)PAThe Senior Clinical Reimbursement Consultant partners with facility leadership to evaluate reimbursement processes, conduct on-site resident observations, validate MDS coding accuracy, identify clinical and operational opportunities, educate interdisciplinary teams, and implement innovative solutions that improve reimbursement integrity while supporting exceptional resident care. The Senior Clinical Reimbursement Consultant (RN) is a highly skilled clinical reimbursement expert responsible for optimizing Medicare Part A PDPM reimbursement, Pennsylvania Medicaid Case Mix (CMI), MDS coding accuracy, clinical documentation, regulatory compliance, and financial performance across multiple skilled nursing facilities.
NewTeam Lead Accounts Receivable Follow Up SchuylkillTeam Lead Accounts Receivable Follow UpAllentown, PennsylvaniaFinally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.
Workers Comp Clinical State Manager IvyrehabWorkers Comp Clinical State ManagerPhiladelphia, PennsylvaniaRemoteDrive Workers’ Comp KPI Metrics, including but not limited to Workers’ Comp Visits, New Patients, LOS, SFQ, coding accuracy for PT/OT and Work conditioning payor mix, functional capacity evaluations, SSG planning, and other industrial specialty services. Responsible for implementation, monitoring and reporting on results of assigned special projects nurse case manager CEUs, social media blogs, workers’ comp networking/conference activities, and integration/companywide trainings.
Physician Assistant or Nurse Practitioner - Outpatient Domain (A) - Pain Management Highmark IncPhysician Assistant or Nurse Practitioner - Outpatient Domain (A) - Pain ManagementErie, PASkip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers Physician Assistant or Nurse Practitioner - Outpatient Domain A - Pain Management Explore our jobs Physician Assistant or Nurse Practitioner - Outpatient Domain A - Pain Management Apply Open in new tab icon. Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning, and providing accurate medical record documentation for patients in physician offices and non-acute based settings.
Nurse Practitioner - Inpatient Domain - Digestive Health Highmark IncNurse Practitioner - Inpatient Domain - Digestive HealthErie, PAFacilitates seamless communication and coordination of patient care activities with patients, families, community health services, and the entire interdisciplinary healthcare team to ensure continuity of care and optimal patient experience. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating, and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.
NewPhysician Assistant or Nurse Practitioner- Inpatient Domain (A) Hospitalist, Casual Highmark IncPhysician Assistant or Nurse Practitioner- Inpatient Domain (A) Hospitalist, CasualJefferson Hills, PANational Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), National Certification Corporation (NCC), or Pediatric Nursing Certification Board (PNCB). This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating, and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.
Physician Assistant - Inpatient Domain (A) - Critical Care Highmark IncPhysician Assistant - Inpatient Domain (A) - Critical CareErie, PAShare Facebook X LinkedIn Whatsapp Email Copy URL Apply Open in new tab icon Arrow left icon Twitter icon Facebook icon Linkedin icon Instagram icon Youtube icon Glassdoor icon Featured Links Competitively Sensitive Information Cyber Security Notice at Collection E-Verify English E-Verify - Employee Rights and Responsibilities Data Protection Sitemap Terms of Service Do Not Sell Share E-Verify Spanish Digital Privacy Policy Highmark Health is an independent licensee of the Blue Cross Blue Shield Association. Skip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers Physician Assistant - Inpatient Domain A - Critical Care Explore our jobs Physician Assistant - Inpatient Domain A - Critical Care Apply Open in new tab icon.
Practice Operations Manager - Sellersville St. Luke's Health Network, Inc.Practice Operations Manager - SellersvilleSellersville, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc. Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
Insurance Coordinator Valley Health Partners Community Health CenterInsurance CoordinatorAllentown, PAMore than 1 year of computerized physician billing within a healthcare or Federally Qualified Health Center (FQHC) setting, preferred. Needed Knowledge, Skills, and Abilities: Ability to interact effectively with patients, peers, and professional colleagues.
Optometric Technician HarrisburgOptometric TechnicianHarrisburg, PennsylvaniaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Internal Medicine Resident THE WRIGHT CENTERInternal Medicine ResidentScranton, PAThe primary purpose of this position is to participate in clinical training in a specialized area of medicine through various medical rotations, while providing patient care that is compassionate, appropriate and effective. Venues may include but are not limited to TWCCH primary care settings, partnering hospitals and FQHCs Participate in outside medical rotations with area physicians.
Internal Medicine Resident Wright CenterInternal Medicine ResidentScranton, PAThe primary purpose of this position is to participate in clinical training in a specialized area of medicine through various medical rotations, while providing patient care that is compassionate, appropriate and effective. Venues may include but are not limited to TWCCH primary care settings, partnering hospitals and FQHCs Participate in outside medical rotations with area physicians.
Field Reimbursement Manager (Central Pennsylvania) Sun Pharmaceutical Industries LtdField Reimbursement Manager (Central Pennsylvania)PA$155,000–$185,000 / yearEducational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs) The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. A minimum of 3 years' experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare, Medicaid and National and Regional Commercial payers.
Ophthalmic Technician Pearle VisionOphthalmic TechnicianPittsburgh, PennsylvaniaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
Optometric Technician CamphillOptometric TechnicianCamp Hill, PennsylvaniaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
NewRev Cycle CDM Coordinator University of Pittsburgh Medical CenterRev Cycle CDM CoordinatorPittsburgh, PAThis individual is responsible for working with Revenue Cycle staff, Finance leadership, and ancillary department heads to ensure all services provided are accurately captured in the Charge Description Master with respect to cost, insurance coding and pricing. Must possess analytical problem-solving skills as well as the ability to build positive working relationships outside the immediate work group with 3rd party payers, patients or their representatives, physicians, and hospital leadership.
Healthcare Compliance Auditor, Senior I University of Pittsburgh Medical CenterHealthcare Compliance Auditor, Senior IPittsburgh, PALeveraging expertise in healthcare operations, reimbursement methodologies, and regulatory requirements, this position conducts auditing and monitoring activities and collaborates with clinical, operational, revenue cycle, and compliance stakeholders to promote adherence to regulatory requirements. The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMC's compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)PARemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
Patient Accounts Representative Heritage Valley Health SystemPatient Accounts RepresentativePARequired: High School diploma or GED equivalent, technical knowledge of health care billing processes; experience in health care receivables management and automated billing systems; good communication skills, and proficiency in Microsoft Office products. This includes insurance verification, preparing patient accounts for billing, conducting accurate and timely follow-up, resolving patient and insurance company questions with regard to those bills, and ensuring receipt and documentation of all payments received.
Field Reimbursement Manager Immunology Gastroenterology - Scranton PA AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Scranton PAScranton, PAThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
Physician Assistant - Outpatient Domain - Cardiac/Oncology Program Highmark IncPhysician Assistant - Outpatient Domain - Cardiac/Oncology ProgramPittsburgh, PAProvides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings (20%). In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Pharmacy Care Technician - Work From Home (Monroeville, PA) CVS Health CorpPharmacy Care Technician - Work From Home (Monroeville, PA)Monroeville, PA$17–$28.46 / hourPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
Accounts Receivable Coordinator Hueman PE Talent SolutionsAccounts Receivable CoordinatorChadds Ford, PAThe Accounts Receivable Coordinator is responsible for maintaining accurate accounts receivable records, posting payments, researching claim activity, and following up on outstanding insurance and patient balances. For over 40 years, Lympha Press has produced the most well-regarded dynamic compression therapy systems and helped patients all over the world with lymphedema, venous insufficiency, and lipedema manage their condition and improve their quality of life.
Registration/Charge Entry Spec Redeemer HealthRegistration/Charge Entry SpecPhiladelphia, PennsylvaniaFull timeWorks cohesively with assigned practices to ensure that the entirety of claim processing, from registration/eligibility and charge entry to claim submission is completed in tandem with Revenue Cycle Specialists in a streamlined and effective manner. The Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need.
PATIENT SERVICES ASSOCIATE -ENDOCRINOLOGY Excela HealthPATIENT SERVICES ASSOCIATE -ENDOCRINOLOGYButler, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. + Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - WOMENS HEALTH Independence Health SystemPATIENT SERVICES ASSOCIATE - WOMENS HEALTHNorth Huntingdon, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, CASUAL FLOAT Independence Health SystemPATIENT SERVICES ASSOCIATE - ORTHOPEDICS, CASUAL FLOATGreensburg, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLEZelienople, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - GI Independence Health SystemPATIENT SERVICES ASSOCIATE - GIGreensburg, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - URGENT CARE Independence Health SystemPATIENT SERVICES ASSOCIATE - URGENT CAREGreensburg, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICE ASSOCIATE - SPINE CENTER Independence Health SystemPATIENT SERVICE ASSOCIATE - SPINE CENTERPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Patient Services Associate - Womens Health Independence Health SystemPatient Services Associate - Womens HealthGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Orthopedics, Casual Float Independence Health SystemPatient Services Associate - Orthopedics, Casual FloatIrwin, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Primary Care Independence Health SystemPatient Services Associate - Primary CareLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Service Associate - Ortho Sports MED - Casual Independence Health SystemPatient Service Associate - Ortho Sports MED - CasualGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Lung Center Independence Health SystemPatient Services Associate - Lung CenterLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Clarion Residency Independence Health SystemPatient Services Associate - Clarion ResidencyClarion, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Patient Services Associate - Orthopedics, Part Time Independence Health SystemPatient Services Associate - Orthopedics, Part TimeConnellsville, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Physical Medicine Independence Health SystemPatient Services Associate - Physical MedicineYoungwood, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Cardiology Independence Health SystemPatient Services Associate - CardiologyGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Care Support Specialist - Fastercare Independence Health SystemCare Support Specialist - FastercareSlippery Rock, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Patient Services Associate - Infectious Disease Independence Health SystemPatient Services Associate - Infectious DiseaseButler, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
NewPatient Services Associate - Benbrook Gastroenterology Independence Health SystemPatient Services Associate - Benbrook GastroenterologyButler, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
NewPatient Services Associate - PC Butler MED Assoc Independence Health SystemPatient Services Associate - PC Butler MED AssocButler, PA 16001, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Patient Services Associate - Urology Independence Health SystemPatient Services Associate - UrologyLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Urgent Care Independence Health SystemPatient Services Associate - Urgent CareGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
PATIENT SERVICES ASSOCIATE - ORTHOPEDICS, PART TIME Independence Health SystemPATIENT SERVICES ASSOCIATE - ORTHOPEDICS, PART TIMEGreensburg, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CAREPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
CARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUAL Independence Health SystemCARE SUPPORT SPECIALIST - FASTERCARE BUTLER CASUALKittanning, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICES ASSOCIATE - CLARION RESIDENCY Independence Health SystemPATIENT SERVICES ASSOCIATE - CLARION RESIDENCYclarion, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.