Highmark Health

Company : Highmark Health Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role is responsible for implementing and administering information security policies and procedures, as well as developing and maintaining information systems to enforce those policies. The incumbent will actively engage in threat hunting, SIEM engineering, log source onboarding, and detection engineering, alongside conducting investigations into potential and existing security threats. Key responsibilities include enforcing security policies, ensuring compliance, troubleshooting security issues, participating in and remediating purple team exercises, and providing advanced incident response support. Additionally, this position evaluates security risk assessments, presents security information to diverse audiences, assists with MSSP vendor management, and supports the workforce with security-related inquiries and problems, all...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Conducts occupational therapy treatments under the supervision of an Occupational Therapist. Effectively communicates and collaborates with patients, families and members of the healthcare team. ESSENTIAL RESPONSIBILITIES: May complete components of patient evaluations as allowed by PA State Practice Act; provides occupational therapy interventions based upon the plan of care written by an occupational therapist utilizing standard, and possibly specialized, occupational therapy techniques and skills as appropriate for the age and condition of the patient. Completes documentation to comply with department, hospital, and regulatory standards. Participates in departmental initiatives for operational improvement including mentoring new COTAs and participating in committees and educational offerings. Performs other duties as assigned or required. QUALIFICATIONS:...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Provides clinical support between patients and physicians. ESSENTIAL RESPONSIBILITIES: Assesses patients and test results, reviews results with physicians and ensures patient communication regarding results and/or recommendations per physician order. (30%) Assesses health status/needs during the ambulatory visit or over the phone using interviewing skills and nursing knowledge. Formulates and communicates an action plan. Implements plan and/or action after discussion with responsible physician. (20%) Coordinates and schedules all patient testing including surgeries and coordinate OR schedule. Assess blood work prior to surgery. (10%) Assesses learning needs of patient and family and provides education based on age, culture and willingness to learn. (10%) Provides clinical support during office hours. (30%) QUALIFICATIONS: Minimum Nursing School...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : This role is part of union Teamsters JH GENERAL OVERVIEW: This job coordinates communications from EMS providers and referral agencies to appropriate areas. ESSENTIAL RESPONSIBILITIES: Coordinates and directs ground and air notification for incoming ambulances. (20%) Coordinates and dispatches specialty teams within WPAHS facilities. (15%) Enters data for all activities performed within the communication center. (25%) Provides direct communication to security staff and dispatches officers when indicated. (15%) Monitors safety and security for areas of responsibility. (25%) Performs other duties as assigned or required. QUALIFICATIONS: Minimum Completion of an EMT program PA EMT or Paramedic license or EMS Compact Privilege to Practice in Pennsylvania at the EMT or Paramedic level Preferred Dispatching experience for an EMS agency or...

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the Epic Resolute Professional Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions.? . ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes anddeterminessystem requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports andmaintainsenvironments or applications using domain knowledge. Creates andmaintainsdocumentation and training materialsregardingthe implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows....

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Assists the Pharmacy Manager and/or Director of Pharmacy by providing leadership and direction of pharmacy services, activities and functions. Performs pharmacist duties as well. ESSENTIAL RESPONSIBILITIES: Supervises day to day services/activities/functions including drug distribution, drug education, pharmacist clinical activities, retail business expansion, inventory management, performance measurements, regulatory compliance, employee development and multi-disciplinary team development. Coordinates pharmacy patient care services with other healthcare providers (i.e., nurses, physicians) to resolve issues related to clinical or drug distribution services. Assists with the development, implementation, administration and enforcement of hospital and departmental policies and procedures. Participates in performance improvement and regulatory compliance. Assists with...

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the Epic Resolute Professional Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions.? . ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes anddeterminessystem requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports andmaintainsenvironments or applications using domain knowledge. Creates andmaintainsdocumentation and training materialsregardingthe implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows....

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the Epic Resolute Professional Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions.? . ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes anddeterminessystem requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports andmaintainsenvironments or applications using domain knowledge. Creates andmaintainsdocumentation and training materialsregardingthe implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows....

Company : enGen Job Description : JOB SUMMARY This job is responsible for configuring, rolling out, and supporting the Epic Resolute Professional Billing and Claims application. Responsibilities include business/systems analysis, requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions.? . ESSENTIAL RESPONSIBILITIES Plans, designs/builds, tests, implements, and supports the needs of Epic software. Analyzes anddeterminessystem requirements and specifications. Performs and documents workflow analysis while evaluating user experience. Supports andmaintainsenvironments or applications using domain knowledge. Creates andmaintainsdocumentation and training materialsregardingthe implementation of applications. Using knowledge of Epic, configures changes within the Epic environments to provide standardized, comprehensive workflows....

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. 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 deposit slip and/or deposits money into bank and confirms...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : This role is part of Union SEIU-E Daylight hours Sign-on bonus: $15,000 (2 year commitment) for qualified candidates GENERAL OVERVIEW Delivers therapeutic radiation and patient care services as prescribed by physician. ESSENTIAL RESPONSIBILITIES Performs patient simulations. (20%) Delivers prescribed radiation treatment. (50%) Assesses, supports and educates patients according to specific department guidelines. (10%) Maintains medical records for treatment delivery, charge entry and quality assurance in accordance with regulatory and departmental guidelines. (15%) Performs other duties as assigned or required, including but not limited to mentoring employees/students and participating in department and organizational initiatives. (5%) QUALIFICATIONS Minimum ARRT Registered Technologist, RT(T) in good standing or board eligible (must complete...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Under the supervision of a pathologist coordinates the receiving, processing and gross description of all patient tissue specimens sent to the laboratory for diagnostic evaluation and postmortem examinations. ESSENTIAL RESPONSIBILITIES: Performs detailed gross anatomic description and sectioning of patient tissue sent to the lab for evaluation. May perform detailed gross dissection, description and sectioning of autopsy. (40%) Organizes gross room workflow for efficiency and productivity. (20%) Assures proper maintenance of equipment, provision of adequate supplies, and cleanliness of surgical pathology area. (20%) Functionalizes the details of research protocols and clinical trials by analyzing the type of tissue needed and ensuring the integrity of the tissue (10%) May instruct, assign and/or assists pathology residents, students and new employees in protocol...

Company : Highmark Inc. Job Description : JOB SUMMARY Under general supervision, responsible for enrollment and billing activities for the membership, enrollment & billing department. Performing membership and billing activities for clients and/or members. Duties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. ESSENTIAL RESPONSIBILITIES Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries Process and maintain membership data. Manage multiple production oriented tasks and responsibilities. Perform various billing, accounts receivable, and reconciliation activities. Create and distribute membership/billing materials...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Under the direction of the provider and as a member of the health care team, assists in coordinating the examination, treatment and health care planning for patients. Assists with other office functions to support patient care and office operations. Follows all established protocols, policies, procedures and standardized workflows. ESSENTIAL RESPONSIBILITIES: Using the team based approach, assists in the coordination of patient care under supervision of the health care provider. Prepares and rooms patients within the clinical practice setting according to standardized work flows. Accurately obtains patient vital signs, documents patient information, patient history, tobacco, and medication screening. May assist in the administration of depression screening tools. Completes annual wellness visit screenings. Reviews, updates and screens medication list in the EHR. Reviews social history...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs various technical and support laboratory duties under the guidance of a medical technologist competent in the area of testing. Requires decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast paced and high volume environment. ESSENTIAL RESPONSIBILITIES Performs a variety of routine and complex procedures using established criteria to provide quality clinical information. Verifies analytic accuracy, precision, sensitivity, and linearity for test methods Operates, calibrates, checks, maintains instrumentation and recognizes and communicates with a certified medical technologist if there are any problems with quality controls Performs test order entry accurately and efficiently to ensure proper testing and charges of patient accounts Participates in medical technology learning models or technical development modules to...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Under the direction of the provider and as a member of the health care team, assists in coordinating the examination, treatment and health care planning for patients. Assists with other office functions to support patient care and office operations. Follows all established protocols, policies, procedures and standardized workflows. ESSENTIAL RESPONSIBILITIES: Using the team based approach, assists in the coordination of patient care under supervision of the health care provider. Prepares and rooms patients within the clinical practice setting according to standardized work flows. Accurately obtains patient vital signs, documents patient information, patient history, tobacco, and medication screening. May assist in the administration of depression screening tools. Completes annual wellness visit screenings. Reviews, updates and screens medication list in the EHR. Reviews social history...