110 Medical Coding And Billing jobs in Pittsburgh, Pennsylvania
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job processes and resolves all billing issues. Assists with day to day functions of billing department and ensures daily duties are completed per established guidelines. ESSENTIAL RESPONSIBILITIES: Troubleshoots billing issues and takes appropriate actions. (35%) Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%) Maintains current knowledge of federal and state reimbursement policies/regulations and system policies. Ensures compliance with regulatory requirements. (10%) Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%) Verifies insurance information via hospital and insurance carrier systems. (10%) Performs all other duties as assigned, including but not limited to supporting front end office processes. QUALIFICATIONS: Minimum High scho
If you're the kind of thinker and leader who wants to bring your contribution to a new level every day, bring yourself over to Optum. You'll discover an opportunity to do your life's best work.(sm) Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) Healthcare Advocate Field based in Pittsburgh, PA Primary Responsibilities: Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Will be out in the field 80% of time in defined territory with rare occasion of overni
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Clinical Access Coordinator - Float Pool - Physician Offices - Full Time (Pays $3 Differential)
Allegheny Clinic
PittsburghCompany :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.ESSENTIAL RESPONSIBILITIES:Gathers, prepares and sends billing for consults and testing at non-Epic facilitiesResponds to CRM requests for appointmentsBalances and closes cash drawer in EpicPrepares deposit slip and/or deposits money into bank and confirms deposit in Epic deposit toolCompletes preregistration functions
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Coordinates financial activities and provides customer support. Assists with coordination of day-to-day operations. ESSENTIAL RESPONSIBILITIES: Counsels patients and families regarding insurance coverage, medical policy and all other aspects related to the financial and billing process. Assists patients regarding alternate funding agencies and resources. (20%) Collects payments and reconciles accounts according to established fee schedules. (20%) Negotiates with external agencies, insurance carriers, providers, patients, etc for information/documentation, payment settlements, authorization issues, and resolution of benefit issues. (20%) Monitors outstanding accounts and informs management of backlog issues. Resolves and addresses issues and deficiencies related to reimbursement and denials. Notifies management of any barriers effecting reimbursement. (10%) Provides analytical support for identification and notificati
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. * Sign On Bonus- Must meet eligibility requirements to have the sign on bonus paid out. ESSENTIAL RESPONSIBILITIES: * Gathers, prepares and sends billing for consults and testing at non-Epic facilities * Responds to CRM requests for appointments * Balances and closes cash drawer in Epic * Prepares d
Company :Job Description :GENERAL OVERVIEW:This job schedules surgeries, tests, procedures, and office visits; obtains authorizations from insurance carriers.ESSENTIAL RESPONSIBILITIES:Schedules and coordinates operating room, primary care and specialty office visits, tests, procedures and/or surgeries. (30%)Completes reservation forms for hospitals; completes and delivers physician orders for upcoming procedures; tracks medical clearances; obtains all billing information. (30%)Obtains authorizations for inpatient and outpatient procedures. (30%)Transcribes reports, notes and correspondence; answers phones and take appropriate actions; files patient information in the medical record and prepares charts; performs general office tasks. (10%)Performs all other duties as assigned or required.QUALIFICATIONS:MinimumHigh school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.Knowledge of medical terminology.Experi
Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job is an integral part of the care delivery system working together to provide a healing environment, by placing our customers first. The incumbent provides primary or acute healthcare services for acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. ESSENTIAL RESPONSIBILITIES: * Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. (30%) * Order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender and physical condition of the patient. Interpret and evaluate patient data to determine patient treatment plan. (5%) * Make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice. (5%) * Appropriate understanding and timely documenta
$1000 Sign On Bonus* Patient Access Coordinator I - Psychiatry - Full Time
Allegheny Clinic
PittsburghCompany :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.*Sign on Bonus - Must meet eligibility requirements to have the sign on bonus paid out.ESSENTIAL RESPONSIBILITIES:Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on serv
Nurse Practitioner/Physician Assistant - In-home Palliative/Support Care - North
Highmark Inc.
PittsburghCompany :Allegheny Health Network Job Description : JOB SUMMARY This job is an integral part of the care delivery system working together to provide a healing environment, by placing our customers first. The incumbent provides primary or acute healthcare services for acute or chronic health conditions in specific populations in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. ESSENTIAL RESPONSIBILITIES Perform complete, detailed and accurate histories, review patient records and perform complete physical examinations. Order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender and physical condition of the patient. Interpret and evaluate patient data to determine patient treatment plan. Make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice. Appropriate understanding and timely documentation to support medical coding and bil
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient.ESSENTIAL RESPONSIBILITIES:Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill s
Health Management Coordinator - Gynecologic Oncology - Full Time - West Penn Hospital
Allegheny Health Network
PittsburghCompany : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job supports and enhances the activities of the practice by providing administrative and clinical support and coordinating daily operations. ESSENTIAL RESPONSIBILITIES: Coordinates and oversees clerical and clinical functions. (20%) Coordinates and/or performs clinical support duties not limited to preparing exam rooms, rooming patients to obtain health and physical information, and assisting healthcare providers in the delivery of patient care during exams, procedures, testing and administering injections. (20%) Schedules patients for procedures, diagnostic testing, and/or office visits. Provides patients with instructions and serves as liaison between the physician and patients. Maintains physician(s) calendars. (20%) Screens and directs telephone calls as appropriate. Takes appropriate actions and responds to internal and external customer inquiries. (20%) Supports front office including registration, chart p
Are you an RN looking for a career opportunity in healthcare technology? Vatica Health is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings.The ideal candidate has a track record of critical thinking strong attention to detail, expertise in navigating various electronic medical record (EMR) systems and building strong work relationships with providers and office staff. And of course, a GREAT PERSONALITY!ResponsibilitiesCreate detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources.Build strong relationships with providers and staff; ability to embed yourself in multiple practices and be a contributing and valuable member o
Patient Access Coordinator - Pediatrics - Upper St. Clair - Full Time ($1,000 Sign-On Bonus) Experie
Highmark Inc.
PittsburghCompany :Allegheny Health Network Job Description : GENERAL OVERVIEW: Completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. ESSENTIAL RESPONSIBILITIES: Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate b
Company :Allegheny Health NetworkJob Description :GENERAL OVERVIEW:This job supports and enhances the activities of the practice by providing administrative and clinical support and coordinating daily operations.ESSENTIAL RESPONSIBILITIES:Coordinates and oversees clerical and clinical functions. (20%)Coordinates and/or performs clinical support duties not limited to preparing exam rooms, rooming patients to obtain health and physical information, and assisting healthcare providers in the delivery of patient care during exams, procedures, testing and administering injections. (20%)Schedules patients for procedures, diagnostic testing, and/or office visits. Provides patients with instructions and serves as liaison between the physician and patients. Maintains physician(s) calendars. (20%)Screens and directs telephone calls as appropriate. Takes appropriate actions and responds to internal and external customer inquiries. (20%)Supports front office including registration, chart preparation
The Role: The Nurse Practitioner (NP) at Connected Health Medicine (CHM) will perform a variety of functions necessary for the care of patients with Inflammatory Bowel Disease (IBD) and other chronic diseases across the continuum. As a member of the interdisciplinary care team, the RN will work within the scope of a nurse practitioner including assessment, history taking, identification of outcomes, coordination and implementation of care plans based on patient-centered and resilience driven care. Job Functions: Conduct telehealth visits and conduct resilience assessments to evaluate health and diagnose illnesses Determine a personalized care plan, and initiate appropriate treatment, and adjust treatment if necessary Provide billing documentation to customers and submit codes within the Electronic Medical Record (EMR) Reconcile and manage medications Document medical information of patients (history, risks, needs, etc.) and maintain electronic medical records Educate, instruct, and coun
The Role: The Nurse Practitioner (NP) at Connected Health Medicine (CHM) will perform a variety of functions necessary for the care of patients with Inflammatory Bowel Disease (IBD) and other chronic diseases across the continuum. As a member of the interdisciplinary care team, the RN will work within the scope of a nurse practitioner including assessment, history taking, identification of outcomes, coordination and implementation of care plans based on patient-centered and resilience driven care. Job Functions: Conduct telehealth visits and conduct resilience assessments to evaluate health and diagnose illnesses Determine a personalized care plan, and initiate appropriate treatment, and adjust treatment if necessary Provide billing documentation to customers and submit codes within the Electronic Medical Record (EMR) Reconcile and manage medications Document medical information of patients (history, risks, needs, etc.) and maintain electronic medical records Educate, instruct, and coun
Job Title: Physical Therapy Assistant Department: Operations Position Reports To: Facility Rehabilitation Director In all of our relationships, we strive to achieve the highest degree of respect, service, excellence and integrity. As a clinically oriented organization, we are committed to increasing the functional capabilities of our patients. By improving the lives of those around us through our daily actions, we are "Making a Difference" Job Summary: To assist in providing quality patient care while maintaining positive levels of interaction with facilities and clients, under the direction of a licensed or registered Physical Therapist. Adheres to applicable state regulation concerning physical therapy. Essential Functions*: Under the direction of the licensed/certified physical therapist, optimizes physical abilities and skills of patients in facilities by: assisting in protocols of screening; implementing treatment for all assigned patients; delivering treatment to achieve identifie
Company : Job Description : GENERAL OVERVIEW: This job schedules surgeries, tests, procedures, and office visits; obtains authorizations from insurance carriers.ESSENTIAL RESPONSIBILITIES: Schedules and coordinates operating room, primary care and specialty office visits, tests, procedures and/or surgeries. (30%) Completes reservation forms for hospitals; completes and delivers physician orders for upcoming procedures; tracks medical clearances; obtains all billing information. (30%) Obtains authorizations for inpatient and outpatient procedures. (30%) Transcribes reports, notes and correspondence; answers phones and take appropriate actions; files patient information in the medical record and prepares charts; performs general office tasks. (10%) Performs all other duties as assigned or required. QUALIFICATIONS: Minimum High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience. Knowledge of medical termin
Baldwin Health Center - Nurse Practitioner - Adult and/or GerontologyThe CommuniCare Family of Healthcare Companies in conjunction with our newly formedMedical Practiceis currently recruiting a Nurse Practitioner with a passion for delivering the highest quality care for our residents at Baldwin Health Center, located in the Pittsburgh, PA region.Purpose/belief statement:The Nurse Practitioner provides an enriched level of medical care with a goal of increasing wellness, preventing illness, and improving outcomes through early detection, wellness visits, and timely diagnosis and/or treatment. This position must function as a team member to ensure that work is accomplished, quality care is delivered, and staff/patients are educated as needed. The Nurse Practitioner is accountable to the team, the patients under his or her care, and all facility/company administration to support and carry out the mission and goals of the practice.Job duties & responsibilitiesMedically manage patients in p
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