Job Search Results in Philadelphia, PA

Insight Global is seeking 1 Revenue Integrity Specialist to support a large healthcare system based out of Annapolis, MD. The candidate is responsible for overseeing and maintaining specifically... More assigned system Charge controls, developing enhanced charge reconciliation functions at the department level, CDM maintenance, and governmental updates related to Revenue Integrity and Compliance. Provide all levels of support to Luminis Health facilities to ensure revenue recognition, including issue resolution for assigned areas of responsibility. Responsibilities are to resolve issues and assist others with resolving problems related to Revenue Integrity. Position communicates to internal and external users all corrections, changes and provides education to the facilities and internal customers. Reviews system charge reports and identifies trends, educational needs, workflow problems, and potential system issues. Generates monthly reconciliation reports and facilitates daily/weekly calls to review the data with the department's heads, hospital administrators, and CBOs. Ensures that any reconciliation issues are resolved promptly. The position will require reviewing specific account details to support other employees, CBO staff, or Administration when there are questions regarding the charge reconciliation process. They will analyze revenue cycle systems, including reporting data to maintain acceptable reconciliation performance, compliance, user satisfaction, and help develop greater efficiencies to identify charge enhancement opportunities. This position will determine the need for claims to be adjudicated with no further review, review records, or facilitate an onsite audit at the hospital. Develops and documents hospital claims review and audit policies. Collaborates with Luminis Health facilities to provide clinical policy representation at meetings to ensure that decisions, which affect claim processing, are appropriate and will result in cost-effective, efficient, and accurate claims payment. The analyst will investigate provider aberrant/fraudulent billing practices utilizing paid claim data and review medical records. Provides education to employees and provider offices as needed to understand correct claim coding, use of CPT, ICD9, ICD-10 HCPCS, etc.Essential Job Duties:Pulls weekly performance reports and distributes them to organizational stakeholders. Analyzes the reports and summarizes any significant changes or trending;Generates daily reconciliation reports. Distributes the results and facilitates calls between the departments, CBO, and Administration to resolve any issues;Manages, coordinates, updates, and implements the Charge Description Masters ("CDM");Provides assistance and analysis to all levels of clinical management in support of suggested, requested, and mandated changes to the CDM;Provides education and in-service training to clinical departments concerning the use of proper CPT-4 Codes or charge codes;Performs all other duties as assigned or required, including account research, problem-solving any assigned research requests from the facilities, report writing as needed, etc.;Conducts review of the chargemaster and updates as appropriate to enhance revenue for clinical departments;Conducts audits of Corporate CDM against all individual department CDM systems;Analyzes data within the CDM and assigns CPT/HCPCS and revenue codes to the ChargeMaster;Review revenue cycle systems and clinical systems to maintain charge integrity and develop greater efficiencies for charge recognition;Responsible for making CDM related decisions that require a higher-level analysis and investigation;Identifies billing irregularities on hospital bills and recommends the next level of review, including telephonic discussions with the hospital, referral to the vendor, or onsite audit at the hospital. Recommends solutions to resolve billing inconsistencies.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Insight Global is looking for a Program Manager to lead their IOP programs services line across the state for their offices in Piscataway, Edison, South Brunswick, Newark, and Cherry Hill. They will... More be sitting in the Edison office but expected to travel to the other sites (Newark, Cherry Hill, Edison, South Brunswick) when needed or at least once a month. They will be overseeing clinicians within the IOP programs, but also other supervisors/managers within the program. This individual will be leading the IOP programs service lines across the state, so they are looking for a personality to engage internal and external providers, budgeting skills, program development skills, computer skills, etc. They will also be reviewing and analyzing data from the EMR (EPIC) to then use that data to review trends and track program goals. We need someone who is able to work independently and lead this large program for one of our higher education clients.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

-The main function of a field service technician is to install, maintain and repair products such as equipment, integrated systems and subsystems, and software at the client and/or field locations.... More Instructs customers in equipment operation, provides technical assistance, performs preventative maintenance, troubleshoots equipment for malfunctions to eliminate problem in minimum time.-Installs, upgrades and removes products ensuring coordinative engineering field change.-Assembles, installs and configures systems and equipment in accordance with site assessments and schematics.-Completes system programming and optimization as part of the installation process.-Completes final commissioning and integrated acceptance testing of electrical systems and associated equipment.-Performs routine system maintenance and analysis functions, including hardware configurations and adding, removing and replacing equipment components.-Travels frequently to customer sites in performance of duties.-The employee frequently is required to stand; walk; and use hands to finger, handle, or feel objects, tools, or controls.-The employee must lift and/or move up to 50 pounds.-Update knowledge and skills to keep up with rapid advancements in computer technology.-Test and verify hardware and support peripherals to ensure that they meet specifications and requirements, by recording and analyzing test data.-Monitor functioning of equipment and make necessary modifications to ensure the system operates in conformance with specifications.-Analyze user needs and recommend appropriate hardware.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Our financial services client is looking for a .NET Developer to join their team to support a new Pooled Employer Plan (PEP) project, that enables multiple employers to participate in a single 401(k)... More plan to reduce individual costs through shared resources. The goal is to minimize administrative expenses, including auditing and IRS-related fees. As a .NET Developer, responsibilities include designing and building the technical infrastructure for the PEP platform, developing web applications with React and .NET Core, implementing database solutions using SQL Server, and integrating essential financial services to support the products functionality.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

An employer is seeking a Medical Assistant located in Bethel, CT. This role requires a patient-centric approach to care as you are supporting internal medicine. Provide patient care, clinical... More summary and direction on next steps or follow up Perform phlebotomy for patients as needed Act as a member of the care team, including preparing patients to be seen by collecting and recording clinical information as per protocol Manage patients according to approved protocols and consistent with appointment and scheduling guidelines Carry out standing orders consistent with practice policies and procedures Document all patient interactions and other clinical activities accurately and in a timely manner in the electronic health record (EHR) Schedule tests, treatments and follow up visits on behalf of patients; assist patients with identifying suitable outside resources for disease management and other services; refer patients when appropriate Answer and document patient phone calls; take complete messages and route to providers as needed using the EHR Monitor task buckets in order to respond to tasks in a timely manner, follow up on overdue orders/worklists and monitor status of critical referrals In coordination with Regional Nurse Managers, maintain oversight of temperature monitoring Assist care team to assure smooth office operation and delivery of excellent service through teamwork Provide attention to patients in a manner that builds confidence, trust and loyalty Demonstrate respect for patients and ProHealth staff by presenting a friendly, courteous manner at all times and maintaining patient confidentiality Maintain open lines of communications with care team and Regional Management team Maintain knowledge of current coding, OSHA and CLIA regulations and company policies Adhere to all patient safety initiatives and infection control regulations Perform other duties as assignedWe are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

As part of an internal project team this role will interact with cross-functional groups to integrate equipment and processes at major life sciences, energy, and chemical clients throughout the... More mid-Atlantic region. This role will be a part of the systems engineering teamDesign and review of automation/control system integration hardware, electrical designs, wireless designs, BUS technology designs, specifications, architectures and Bill Of Materials (BOM).Procurement, tracking, setup, fabrication, staging, testing and shipment of the system hardware and control enclosures.Development, review and execution of Hardware Factory Acceptance Test (HFAT) protocols.Construction Scope of Work: Assisting in the development and documentation of construction packages with expected growth to manage this activity with minimum to no supervision.Site support activities: Assisting in installation, commissioning, and startup activities with expected growth to manage this activity with minimum to no supervision.Sales support activities: Includes reviewing requests for proposal, identifying and estimating proposal scope and schedules as they relate to E&I activities.AutoCAD: A working knowledge of the use of AutoCAD a plus but not required.Control System Software: Able to read and modify control logic including physical layer (I/O details), continuous configuration (control module) a plus but not required.Participate in the maintenance and development of department standards for AutoCAD and automation design tool libraries.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

- Associate Degree or equivalent years of work experience- Strong Data Management and organizational skills- Strong Written and Verbal Communication skills- Experience Receiving/ processing mail /... More distribution *Prepare documents and emails. *Schedule, attend and assist at meetings. *Answering calls *Greeting and assist visitors. *Receiving/ processing mail / distribution --Reviewing mail and determining how to distribute it. *Processing new member paperwork and making sure all necessary forms, documentation and information are obtained before being turned in for final processing. *Submitting all apprenticeship paperwork to the JATC.Member Services *Assisting members with any questions they may have. *Investigation of members records for inaccuracies. *Keeping track of pending paperwork for missing forms (Reinstatement forms, Journeyman forms, Ullico etc.) *Review of pending applications. Inform reps on any paperwork that is pending.Office Upkeep *Maintain files in correct order insuring that each member's documentation is in proper file. *Office/Break Room/Bathroom/stationery supplies -- Make sure we have what we need for daily use. *Training paperwork packets- make sure the trainees have sets of paperwork to pick up if needed. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Insight Global's top pharmaceutical client is seeking a Sr. Consultant to join their Market Access Analytics organization. They have a partner building out sophisticated dashboards that consolidate a... More large variety of Payer and Provider based syndicated data on the backend. This individual will come in to provide project management, vendor management, and hands on data analysis, QC services, and dashboard builds using Tableau Self Service. The ideal candidate will have deep experience in Market Access and Pricing domains, and an array of technical skills including advanced Excel, Sql, and Tableau.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Insight Global's client seeking Senior Data Analyst to join their integration team. This person will be collaborating with 3rd party vendors to collect and validate data coming through that it is... More able to be consumed. They should have strong capabilities writing SQL queries and be able to analyze large amounts of data. This role requires a self-starter who takes initiative in identifying both problems and opportunities for improvement. The ideal candidate proactively engages in conversations to surface issues, collaborates on solutions, and drives progress without needing to be prompted by others.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Work with business and vendor partners to understand existing processes and pain points, applying targeted techniques to define efficient and effective user experiences which drive desired... More outcomes.Learn the implemented o9 planning processes and features in use at Total Wine, as well as draw from your experience to help extend and optimize our processes and functionality.Effectively run workshops to drive the definition and alignment of the vision, objectives, requirements and key expectations around the product you are delivering.Utilize data and metrics to back up assumptions, develop business cases, and communicate data insights to others.Demonstrate a record of success collaborating on and launching successful features. Youre going to be responsible for delivering an experience, so you must have worked in a product group focusing on web or mobile applications for at least 5+ years. Effectively turn the vision you clearly articulated into simple, intuitive stories and user flowsWe are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less