26 jobs found

Medical Operations Supervisor (Nurse Supervisor) page is loaded Medical Operations Supervisor (Nurse Supervisor) Apply locations Americas, US-PA, Homestead 250, CSL Plasma time type Full time posted on Posted 6 Days Ago job requisition id R-219051 Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow.   Job Description Main Responsibilities 1. In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance...

Job Description Job Description Covenant House Incorporated, a Federally Qualified Health Center, is seeking a medical biller to manage the billing of insurance and processing payments for clients.  The ideal candidate is expected to have knowledge of preparing and submitting claims for medical procedures and services provided to insurance companies.  You will be expected to communicate with patients about outstanding balances, and collect payments for the provider institution. You must have good attention to detail and ensure that patient medical information is accurate and up to date. Candidate must also be able to analyze medical data and use sound judgment when needed. Strong written and verbal communication skills are necessary as when working with patients, clients, collection agencies, and insurance companies. Daily duties and responsibilities include monitoring accounts, working with patients to schedule payment arrangements, and pursuing delinquent accounts. You will...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.  The Traveling Medical Assistant Training Supervisor is responsible for overseeing and managing the training, competency, and development of MAs within the MDE clinics and facilities.  This role plays a critical part in ensuring that medical assistants are competent in the role to provide high-quality patient care and ensure clinical compliance.  The traveling medical assistant training supervisor plays a pivotal role in shaping the MDE medical assistant training team by providing them with the leadership and guidance to ensure medical assistants are knowledgeable and hold skills they need to excel in our centers and deliver exceptional patient services.  The role requires a deep understanding of the roles of a medical assistant, strong leadership...

Title of Job: HCC Risk Adjustment Coding Consultant Do you want to be part of a team that improves the lives of millions of people every day? The CSI Companies is hiring a Remote HCC Coding Consultant for our Fortune 100 healthcare clientAs one of the most respected and innovative healthcare companies in the world, you will state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest.As the leading health care organization in the United States, this company focuses on advancing health equity, addressing systemic issues that cause health disparities, and closing gaps in care for the most vulnerable populations. This goal cannot be accomplished without their 125 clinicians, 40k customer service, and 30k technologist all serving 142 million individuals.Location: Full time Remote (can be worked anywhere in the...

Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit  www.mmsholdings.com  or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare...

Overview: If you are a Jazz employee please apply via the Internal Career site Jazz Pharmaceuticals plc (NASDAQ: JAZZ) is a global biopharmaceutical company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases - often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines and novel product candidates, from early- to late-stage development, in neuroscience and oncology. We actively explore new options for patients including novel compounds, small molecules and biologics, and through cannabinoid science and innovative delivery technologies. Jazz is headquartered in Dublin, Ireland and has employees around the globe, serving patients in nearly 75 countries. For more information, please visit www.jazzpharmaceuticals.com and follow @JazzPharma on Twitter. Position Profile: The Associate Director, Medical Science Liaisons (MSLs)...

Responsibilities Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS . The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical...

We are currently looking for an Engineering Compliance and Auditor to join our Vehicle Engineering Team, based at our office in Bedford. Our Engineering team provide the Insurance and Fleet supply chain with a variety of vehicle assessment/inspection products. Our flexible, bespoke reporting system incorporates industry leading products and software and our Engineers are highly qualified to IAEA AQP, IMI VDA and/or IAEA standard. Our services give the Client control over the claim with a 'one-stop' solution for cost control, collection, valuation, categorisation, settlement and remarketing of vehicle salvage. This role has responsibility for the vehicle engineering regional teams training and auditing process, ensuring the consistent delivery of high levels of internal and external customer service, that will enable increasing levels of profitability from day-to-day vehicle engineering activities. Main Duties & Responsibilities include: Ensuring that Engineering reports are...

The Medical Case Management Supervisor shall oversee the staffing and performance of Medical Case Managers (MCM) and HIV/PrEP Patient Navigators across the PHMC Health Network. This person shall possess a strong knowledge of Philadelphia Division of HIV Health (DHH) Medical Case Management and PrEP standards and shall serve as a liaison to DHH around MCM activities. The Medical Case Manager Supervisor will ensure that regular, ongoing, and high-quality supervision is provided and appropriately documented and that all staff are connected to and complete all required trainings. The Medical Case Manager Supervisor will additionally ensure that the team, and the patients it serves, are connected to programs, which specifically support people living with HIV. They will also ensure that they, the Medical Case Managers, and the PrEP Patient Navigators are full trained on and aware of broader, non-HIV-specific community resources and are know how connect patients to these services. Lastly,...

We have a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. In support our mission for delivering the best healthcare, we are continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. Join us in supporting our initiative for a diverse workforce striving for one common goal, healthcare for all! Salary: $29 - $30 per hour Work hours: 8 AM - 5 PM Education: High School Responsibilities Here's what you'll be doing: Responsible for the accuracy of all billing charges generated in the Department Of Radiology Perform clerical and administrative functions relating to the billing of radiology patient accounts Analyzes radiology accounts including the professional and technical...

LOOKING FOR A FULLY REMOTE CPC CERTIFIED THROUGH THE AAPC, MEDICAL BILLER PLEASE APPLY! Job Description: Responsible for the timely submission of technical or professional medical claims to insurance companies including physician offices, hospitals, nursing homes, or other health care facility. Job Duties: Review patient bills for accuracy and completeness and obtain any missing information. The qualified candidate will be able to perform the following: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews and sends patient statements. Evaluates patients financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares...

Preferred Primary Care Physicians (PPCP) is currently recruiting for an onsite full-time Medical Billing Specialist to work out of PPCP's Central Administrative office located in Canonsburg, PA. The ideal candidate will have a minimum of 1 year of medical billing experience and be familiar with medical terminology. Schedule is Monday-Friday day. Come join the PPCP team to get a highly competitive starting hourly wage, a fantastic benefit package that includes one of the top 401k plans in the field, and a company that promotes a positive, upbeat environment and healthy work/life balance! General Purpose of the Medical Billing Specialist Position: This position will prepare, review, and transmit claims using billing software, including electronic and paper claim processing. The Biller will also follow up on unpaid claims within standard billing cycle timeframe. This position will also check each insurance payment for accuracy and compliance. Medical Billing Specialist...

PHMC is proud to be a leader in public health. PHMC requires that all employees are fully COVID-19 vaccinated by the first day of employment. We will offer the Covid-19 vaccination at no cost, via our Health Centers.Mission Statement:Our Mission is to be the premier regional provider of integrated, community-based healthcare by combining evidence-based clinical practices, outstanding patient service, innovative care partnerships, and team-driven excellence, within a healthy fiscal environment.Job Description:Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes.Age/Patient Populations Served(Double-click on box to activate appropriate indicator)Age of...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

DescriptionRequisition Status:PendingStatus Reason:Pending SourcingReason:New PositionReason Detail:Manager:Department:AMHSS_1000_345 : AHC Services-CorporateRiskAdjustmentProgJob Category:NonClinical - Admin/Claims/CSR/TechJob Code:Medical Coding Specialist:Medical Coding SpecialistJob Title:Medical Coding Specialist - REMOTEKeywords:Number of Positions:1Remaining Positions:1Duties:The Medical Coding Specialist is responsible for abstracting and coding diagnosis information and/or medical conditions documented in physician office medical records using CMS, ICD-10 and/or Department defined criteria and guidelines.The Specialist will receive and review medical records electronically and document ICD-10 codes or medical record compliance issues using computer software.The Medical Coding Specialist is responsible for meeting average daily production goals while maintaining a minimum 91% accuracy rate on a consistent basis. Must be AAPC or AHIMA certified.Skills:Experience•Required to...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and  your life’s best work.SM  Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Outpatient Medical Coder  you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way...

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career. CHOP's Commitment to Diversity, Equity, and Inclusion CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We...

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office procedures for providers to ensure proper reimbursement. Provides educat Medical, Coder, Compliance, Healthcare, Patient, Education, Billing

PRIMARY FUNCTION: Abstract clinical information from Electonic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-9 and CPT codes.Educating physicians on compliance and correct coding and processing charges,review coding related denials. ESSENTIAL FUNCTIONS: Interacts with co-workers, visitors, and other staff consistent with the Jefferson values Educates new faculty members on the coding basics, as well as all university/department compliance policies Completes all accounts receivable and claims manager edits. Assists patients with billing and insurance related questions. Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required. Ensures billing compliance with third party payor requirements and regulations. Qualifications MUST HAVE a high sc hool diploma or GED required...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. As a  Certified Sr. (IP) Acute Edits Medical Coder you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Overview The Associate Director, Field Medical Affairs will provide clinical and scientific information in response to inquiries about Iovance Biotherapeutics developmental products and future marketed products to physicians, other health care providers, medical centers and staff, health maintenance organizations, and government health agencies. They will also identify, develop, and maintain relationships with regional and national key opinion leaders and support clinical trial site identification and execution. The Associate Director, Field Medical Affairs will collaborate with other field-based personnel to ensure that Iovance maintains a strong clinical and scientific presence in the field. Essential Functions and Responsibilities Enhance Iovance Biotherapeutics image as an advocate of medical advancement by using knowledge of product, disease state and pipeline products to engage healthcare providers in meaningful scientific exchange Provides effective scientific and...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Job Details Job Location : Headquarters - North Pointe - LANCASTER, PA Position Type : Full Time Education Level : High School Salary Range : Undisclosed Travel Percentage : Negligible Job Shift : Day Job Category : Admin - Clerical Description Job Title: Medical Billing Specialist Location: This position can be filled in Willow Street, Lancaster, or Lebanon. Summary/Objective: The Medical Billing Specialist is in charge of facilitating the collection of monies due to Orthopedic Associates of Lancaster, Ltd. from patients and insurance companies. Also responsible for helping support staff identify participating insurance carriers and assisting support staff with the interpretation of patient insurances. Primary Responsibilities: Contact insurance carriers daily to collect past due amounts on outstanding medical accounts. Follow up in a timely fashion. Maintain an accurate and up-to-date aging report of assigned accounts to include AR analysis and follow-up. Keep...