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Novus jobs in Pittsburgh, PA - 47 jobs

  • Quality Assurance Analyst (Insurance Auditor Focus) - Pittsburgh, PA 15219 (Downtown)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Status: Full-Time Shift: Day Job Work Arrangement: Hybrid (2 days in-office required, 3 days remote) Department: Operational Risk Integrity Starting Pay Range: $24.00 - $29.00 per hour as a new hire, based on experience. Compensation increases: After hire and through promotional, performance-based increases, additional compensation can be earned up to $42.00 per hour. Continuous and experiential learning will be required to achieve pay increases. Comprehensive Benefits Package The Company offers competitive compensation and a full range of benefits designed to support your total well-being, including: Competitive Pay: Base wages, Merit Pay, and generous Premium Pay (Off-Shift Differential, Holiday Pay, Standby/Call-in Pay). Health & Wellness: Comprehensive Medical, Dental, Vision, and Prescription Drug Coverage, plus Flexible Spending Accounts (FSAs). Access to Employee Assistance Programs (EAP) and various Wellness Programs (e.g., stress management, weight management). Financial Security & Retirement: Cash Balance and Savings Plans, along with Basic Life, AD&D, and Disability Insurance. Time Off & Leave: Generous Vacation/Personal/Sick Time (PTO), Paid Holidays, Funeral Leave, and Paid Parental Leave. Professional Growth: Opportunities for Tuition Assistance, access to training resources, and defined Advancement Opportunities via Career Ladders and Internal Job Postings. Work-Life Support: Child and Elder Care Referrals, Legal Insurance, and Employee Discounts/Perks. Recognition: Programs like Merit Awards, ACES, and Service Awards to recognize your valuable contributions. The Quality Assurance Analyst is meticulous and analytical working with the Company's Operational Risk Integrity department in Pittsburgh, PA. This role functions as a critical Insurance Auditor Analyst, primarily responsible for ensuring the accuracy and integrity of the claim payment systems. This is a full-time, hybrid position, working daylight hours (Monday - Friday), requiring two days per week in our Pittsburgh office. Key Responsibilities As a core member of the Operational Risk Integrity team, you will: Claim Auditing: Conduct comprehensive prospective and retrospective audits of high dollar claims to verify payment accuracy and adherence to policy. Payment Integrity: Collaborate directly with Reimbursement and Configuration Specialists to identify, investigate, and resolve payment inaccuracies and ensure correct system configuration. Risk Mitigation: Analyze audit results, identify root causes of errors, and detect emerging error trends to recommend policy/procedure modifications and necessary staff training. Process Improvement: Drive continuous improvement by participating in and leading initiatives to target potential problems and enhance operational efficiency. Data Analysis & Reporting: Devise sampling methodologies, retrieve audit samples, and compile/report statistical data to internal stakeholders and external client audit teams. Stakeholder Management: Act as a subject matter expert to resolve complex or difficult issues, ensuring satisfaction for internal (Claims, Customer Service, Marketing) and external customers. Maintain strict confidentiality in all activities. Core Competencies and Minimum Qualification Requirements: Proven experience and knowledge of reimbursement mechanisms and clinical/procedural coding (e.g., CPT, ICD-10, HCPCS). Note: Five (5) years of claims processing experience, including commercial and government health insurance plans, may substitute for coding/reimbursement knowledge. Basic to intermediate understanding of managed care delivery systems. Excellent analytical skills and familiarity with basic statistical analysis. High level of oral and written communication skills for effective reporting and issue resolution. Highly detail-oriented with superior organizational skills. Technical Skills: Intermediate proficiency with Microsoft Excel (e.g., pivot tables, formulas). Intermediate proficiency with general MS Office products. Familiarity with reporting tools like MS Access or COGNOS is a plus.
    $24-29 hourly 47d ago
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  • Administrative Assistant (Surgical Authorizations & Medical Scheduling)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job DescriptionAdministrative Assistant - Intermediate - Pittsburgh, PA 15219 (On-site) Status: Full-Time, Direct Hire as an employee of the Company (NOT a temporary or contract position) Location: Pittsburgh, PA 15219 Work Arrangement: On-site Shift: Day Job (Mon-Fri, 8:00 AM - 4:30 PM) New Hire Salary Range: $19.80 - $22.45 per hour, to start Opportunity to Earn More: After hire, performance-based incremental pay increases can be earned Benefits: Health & Wellness: Comprehensive medical plans (HSA/FSA available), dental, and vision coverage. Enjoy $0 preventive care Retirement: A robust program including a Cash Balance Plan and a Savings Plan with a company match of 50% on the first 4% of your contributions. Work-Life Balance: Generous Paid Time Off (PTO) accruals and 7 paid holidays. Education for You & Your Family: Up to $6,000 per academic year in tuition assistance for you and significant tuition discounts for your eligible dependents. Financial Growth: Competitive salary with yearly performance-based increases and student loan refinancing options Personal Support: Paid Parental Leave and "Flex Spend" cards to help cover out-of-pocket healthcare costs like dental or hearing services. The Administrative Assistant position is perfect for a detail-oriented professional looking for a predictable, daylight schedule with no evenings or weekends. You will play a vital role in patient care by managing surgical authorizations and coordinating complex provider schedules. Key Responsibilities Clinical Coordination: Primary focus on obtaining surgical authorizations, scheduling patient appointments, and maintaining precise provider schedules. Administrative Support: Proactively manage calendars, schedule meetings, and arrange travel or catering as needed. Data & Reporting: Collect and analyze moderately complex data; research and draft initial reports or summaries for department leadership. Communication: Compose unique correspondence and modify department-wide communications on behalf of leadership. Fiscal Support: Maintain accounting and budgetary records, including the completion of expense reports and office supply procurement. Office Excellence: Perform essential clerical functions including screening calls, greeting visitors, and maintaining organized digital and physical filing systems. Qualifications Education: High school diploma or equivalent required. Experience: Minimum of three (3) years of experience in an administrative support role. Minimum 3 years of experience in a healthcare industry position supporting a group of professionals Prior experience obtaining surgical authorizations and/or medical scheduling Technical Skills: Advanced Proficiency in MS Office Suite (Word, Excel, PowerPoint, Outlook) and a strong ability to manage electronic mail and calendars. Professional Knowledge: Working knowledge of business processes and basic accounting/financial principles. Soft Skills: Strong reasoning skills, ability to analyze data, and professional verbal/written communication.
    $19.8-22.5 hourly 13d ago
  • Medical Scheduling Representative (Surgery), Pittsburgh, PA 15213

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Location: Pittsburgh, PA 15213 (Oakland area) Work Schedule: Monday-Friday, daylight hours, no nights, weekends, or holidays Starting Pay Rate: $19.00 - $22.00 per hour, to start Opportunity to earn more: There are clear opportunities to increase your earning potential after hire through performance-based pay raises and promotions. Through continuous learning and hard work, you have the potential to earn up to $29.00 per hour! This is a permanent, direct-hire position-you become an employee of the hiring company from day one, and our services are always 100% free to you. We help you with interview preparation, resume revision, compensation discussions, and we advocate for you with the hiring team. Benefits: Defined Career Path: Access to a clear professional trajectory with opportunities for skill growth and advancement within the vast Company system. Exceptional Benefits: Enjoy comprehensive health coverage (Medical, Vision, Dental), life/disability insurance, and one of the best retirement programs in the industry. Work-Life Balance: We offer generous Paid Time Off (PTO), wellness programs, and paid parental leave to support your life outside of work. Competitive Compensation: Earn competitive pay with access to merit increases for the critical work you do every day. Medical Scheduling Representative (Surgery) is an essential link between skilled surgeons, advanced practice providers, and patients requiring highly complex, tertiary care. Responsible for executing all necessary administrative, financial, and logistical steps to ensure seamless surgical patient flow and physician scheduling. Surgical & Clinical Coordination Schedule surgical cases, pre-screening exams, diagnostic testing, and post-operative appointments for all patients. Secure all necessary pre-certification and/or referrals prior to the procedure date. Coordinate cases and communicate with hospital personnel to obtain approval for all hospital admissions. Provide patients with clear pre- and post-operative instructions and ensure informed consents are signed and secured. Financial & Administrative Management Coordinate and track patient follow-up using the Refract Tracker and the EPIC system. Discuss and coordinate financial arrangements prior to surgery, including the collection of pre-payments. Ensure all billing and insurance information is current and accurate; requires in-depth knowledge of regulations (Medicare, BC/BS, Managed Care, Worker's Comp). Prepare and forward all necessary admission reservations/requisitions to hospitals. Communication & Operational Leadership Act as the primary liaison between patients and referring physicians, responding to all incoming telephone inquiries regarding surgery. Work directly with the department to troubleshoot procedural and operational issues. Manage various departmental needs, including coordinating patient education seminars, collecting research study data, and completing special projects as assigned. QualificationsRequired High school diploma or equivalent. Completion of a Medical Assisting program OR 2-4 years of experience in a medical field (scheduling, billing, or patient coordination). Strong organization, time management, and interpersonal skills. Proven ability to work independently and possess sound decision-making skills. Ability to deal compassionately and professionally with patients and their families. Preferred Skills Proficiency in medical terminology. Knowledge of the Epic practice management program. Demonstrated knowledge of insurance regulations (Medicare, Managed Care, BC/BS, Worker's Comp) regarding surgical scheduling and approvals. Experience in a high-volume surgical or specialty practice.
    $19-22 hourly 60d+ ago
  • Print Production & Process Strategist

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Salary: up to $29.00 as a new hire. Promotional pay increases can be earned, after hire. The Opportunity Are you a detail-oriented problem solver who enjoys the intersection of technology, data, and physical production? We seek a Print Production & Process Strategist to join the Print & Fulfillment team.In this role, you won't just be managing "mail"-you'll be a strategic partner in communication with healthcare members. From optimizing budget reporting and vendor performance to building complex letter templates in Inspire Interactive, your work ensures our members receive the right information at the right time. Why should you join the team? Impact: Your work directly affects the member and provider experience. Innovation: Help modernize the fulfillment technologies and data workflows. Balance: Enjoy a hybrid work schedule (2-3 days in-office) Pittsburgh, PA 15219 Employee of the Company with access to benefits What You'll Do Strategic Execution: Collaborate with Operations teams to integrate print and fulfillment strategies into core business functions using modern tech stacks. Technical Content Management: Utilize Inspire Interactive to develop, maintain, and audit letter templates, ensuring they meet compliance and design standards. Vendor & Project Management: Act as a key liaison between internal departments and external vendors to ensure project timelines and service levels are met. Data & Insights: Generate reports and trend analyses to identify cost-saving opportunities and process improvements. Process Improvement: Stay ahead of industry trends in fulfillment technology to recommend innovative ways to streamline our communications. Who You Are Experienced: You have a Bachelor's degree (degree preferred, will accept equivalent recent and relevant experience) and at least 2 years of experience in operations, client relationship management, or production, required Tech-Savvy: You are proficient in the Microsoft Office Suite (Excel, Visio, Access) and are comfortable learning specialized software like Inspire Interactive. Adaptable: You thrive in fast-paced, sometimes ambiguous environments and can manage multiple high-priority projects simultaneously. Communication Pro: You can translate complex operational needs into clear instructions for vendors and internal stakeholders alike. Knowledgeable: Experience in healthcare insurance, print production, or marketing operations is a significant plus. Who We AreNovus Group is a partner with the Company. Through this affiliation, we help with resume revision advice, interview preparation and we'll act as your liaison with the hiring team. There is no fee for our services since the Company provides this service through Novus Group.
    $29 hourly 28d ago
  • Medical Office Assistant/Scheduler

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Medical Office Assistant/Scheduler - Pittsburgh, PA 15232 Job Status: Direct Hire as an employee of Company - NOT a temporary job Work Schedule & Compensation Full-time, full benefits Daylight shift - 4 10-hour shifts or one work-from-home day per week Salary for new hires: up to $21.00 per hour, to start Promotional growth through dedicated career ladders is expected Based on performance, established employees can earn additional pay up to $29.00 per hour (pay raises are based on work performance, career development, and occur incrementally, over time). Novus Group offers job-preparedness resources to help you navigate direct hire career opportunities through our partnership with the Employer. We are dedicated to helping you achieve your career goals through resume revision assistance, job interview preparation, and we communicate with the Employer on your behalf to get real-time status updates on your applications. These valuable resources are paid by the Employer, there is NO cost to you as the job seeker. Below are some of the perks that focus on you, as the employee: Caregiving support for childcare/elderly family members Paid time off up to 5 weeks Student Loan Refinancing / forgiveness Medical, Dental, Vision and other coverages Up to 8% retirement savings match Up to $6,000 per year in Tuition Assistance to you and your immediate family Adoption Assistance, Pet Insurance and Retail Perks & Discounts Ongoing learning Accelerated Career Path Flexible work arrangements 7 holidays per year PTO buy back and selling excess, when eligible Job Description Medical Office Assistants/Schedulers are responsible for patient scheduling, coordination of financial arrangements for patients, working with other clinical staff, and maintaining electronic health records. We're looking for a Medical Office Assistants/Schedulers with a MINIMUM of 2 years medical office experience required OR successful completion of a Medical Assistant Program in addition to the requirements below: Minimum Requirements: High School Diploma or equivalent Completion of a medical assisting program or 2-4 years' experience in a medical field. Proficiency in medical terminology General knowledge of computer software and practice management databases is essential. Knowledge of the Epic practice management programs preferred. Strong organization, time management and interpersonal skills. Tact and diplomacy are necessary in dealing with physicians, patients and their families and other employees. Ability to deal compassionately and professionally with patients is essential. Work independently and possess sound decision-making skills. Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding scheduling and approval of surgical procedures. Ability to prioritize work demands. Ability to consistently maintain confidentiality with regards to all job assignments and related information.
    $21-29 hourly 60d+ ago
  • Compliance Specialist (Healthcare Insurance Regulations)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job DescriptionCompliance Specialist (Hybrid) Status: Full-Time, Direct Hire - employee of the Company (not a contract or temporary job) Work Arrangement: Hybrid (Combined Work from Home & In-Office requirement at the Pittsburgh office) New Hire Salary Range: $34.98 - $41.37 per hour based on match to job requirements and experience Opportunity to Earn More: After hire, performance-based increases can be earned Benefits: Health & Wellness: Multiple medical plan options (HSA/FSA eligible), $0 preventive care Financial Future: A comprehensive retirement program, some plans have a 50% match on the first 4% of your contributions. Education: Up to $6,000 per academic year in tuition assistance for you and your dependents. Work-Life Balance: A hybrid schedule (home/office), 7 paid holidays, and up to 5.5 weeks of accrued PTO per year. Extra Perks: Paid Parental Leave, Student Loan Refinancing, and much more! The Compliance Specialist is integral to the Corporate Compliance and Ethics Program. You will work alongside the Compliance Officer and Committee to ensure our health insurance practices meet federal, state, and local regulations while mitigating operational risks.The ideal candidate is a self-motivated professional who thrives in an independent working environment and takes proactive initiative in regulatory oversight. Responsibilities Strategic Reporting: Assist in developing dashboards, metrics, and reports for senior management and the Board to demonstrate Compliance Program effectiveness. Risk & Policy Management: Perform regular gap analyses and risk assessments. Draft, adapt, and review Compliance policies and procedures to ensure internal operations remain consistent and accurate. Remediation: Develop and oversee corrective action plans and remediation protocols to ensure timely compliance across all departments. Regulatory Liaison: Act as a representative during regulatory agency reviews, investigations, and requests for information. Industry Expertise: Keep abreast of changing industry laws and standards. Communicate contractual requirements throughout the health plan and research complex regulatory inquiries. Collaboration: Coordinate with internal subject matter experts (SMEs) and business teams to support regulatory product filings, proposal development, and service area expansions. Training: Support Program Leadership in conducting annual and ongoing compliance training for staff and applicable third parties. Qualifications Education: Bachelor's degree required. A Juris Doctor (JD) or Master's degree in a related field is a plus. Experience: Direct experience conducting compliance assessments, audits, or risk assessments. Five (5) years of compliance or legal experience preferred, specifically on the insurance (payer) side. Pennsylvania-specific regulatory experience is highly preferred. Knowledge Base: Proficiency in Medicaid/Medicare Managed Care and various lines of business (Commercial, CHIP, Marketplace). Expert level experience with Medicaid and/or Medicare managed care and with the different lines of business/benefits (i.e., Commercial, Medicaid, CHIP, Marketplace
    $35-41.4 hourly 13d ago
  • Pediatric Front Office Coordinator (Express Care) - Bridgeville, PA (On-Site)

    Novus Group 4.8company rating

    Novus Group job in Bridgeville, PA

    Status: Part-Time Work Arrangement: On-site Shift: Rotating (Evenings & Weekends) New Hire Salary Range: $18.79 - $21.20 per hour, to start Opportunity to Earn More: After hire, earn more through incremental, performance-based pay increases Benefits: Even in a part-time capacity, the Company supports your professional and personal well-being through the following programs: Financial Future: Access to a comprehensive retirement program, with a generous company match Health & Wellness: Eligibility for medical, dental, and vision plans, plus $0 preventive care Education: Up to $6,000 per academic year in tuition assistance to help you grow your career within the Company. Generous paid time off Perks: Paid Parental Leave, student loan refinancing options and much more! Pediatric Front Office Coordinators are the first point of contact for families seeking urgent pediatric care. You will balance clinical administrative tasks with compassionate customer service, ensuring that every child's visit begins with a smooth and welcoming registration process. Required Availability: As an Express Care facility, this role requires evening and weekend availability to support our community when they need it most. Mon-Fri: 4:30 PM - 9:00 PM Sat-Sun: 9:30 AM - 6:00 PM Key Responsibilities Patient Interaction: Greet families warmly, manage the check-in/check-out process, and collect copayments. Scheduling & Coordination: Arrange follow-up appointments and connect patients to necessary pediatric sub-specialties. Technology & Records: Utilize Epic and Biometrics for patient registration. Actively promote the patient portal to help parents stay connected to their child's health records. Financial Advocacy: Educate families on their financial responsibilities and provide information on available financial resources. Clinical Compliance: Perform insurance verification, obtain necessary consent signatures, and strictly adhere to HIPAA regulations to protect patient privacy. Administrative Support: Manage high-volume phone lines, scan medical records, and maintain a tidy, efficient front-office environment. Qualifications Education: High school diploma or equivalent required. Experience: ** Minimum Two (2) years of experience in a medical billing, healthcare registration, or medical customer service role Prior experience with Epic, Medipac, or similar electronic health record (EHR) systems is highly preferred. Skills: * Proficient typing skills and comfort with computer-based applications. Basic knowledge of medical terminology Strong communication skills and the ability to navigate complex insurance verification processes. Successful candidates will need to demonstrate a blend of high-level administrative accuracy and a "service-first" personality tailored to a pediatric environment.1. High "Pediatric IQ" and EmpathyIn an Express Care setting, parents are often stressed because their child is sick or injured after normal business hours. A successful candidate will: Remain calm and reassuring under pressure. Communicate with warmth and patience to both children and anxious caregivers. De-escalate tense situations involving long wait times or insurance frustrations. 2. Proficiency in Epic and Revenue CycleBecause registration and insurance verification are the "engine" of the clinic, top candidates will possess: Epic Experience: The ability to navigate patient charts, schedule follow-ups, and update demographics quickly. Insurance Fluency: A strong understanding of copayments, deductibles, and the difference between various plans (Medicaid vs. Commercial). Accuracy: Ensuring "clean" registrations to avoid billing errors later in the cycle. 3. "Express Care" Speed and Multi-tasking Unlike a standard doctor's office, Express Care has unpredictable "rushes." Successful candidates must: Manage a busy waiting room while simultaneously answering phones and scanning records. Efficiently transition between checking in a new arrival and checking out a departing patient. Take initiative during "down times" to clean the lobby, organize files, or assist clinical staff. 4. Financial Advocacy SkillsThe role requires more than just collecting money; it involves "Financial Advocacy." Successful candidates will: Comfortably discuss sensitive financial information with families. Explain UPMC's financial assistance resources to those in need. Educate parents on the benefits of using the patient portal for future bill pay and results. 5. Reliability and Schedule FlexibilitySince this is a Part-Time role with a rotating evening and weekend schedule, success depends on: Punctuality for late-afternoon shifts (starting at 4:30 PM). A "team-player" mindset when it comes to rotating weekend coverage. Consistent attendance to ensure the clinic remains appropriately staffed during peak hours.
    $18.8-21.2 hourly 14d ago
  • Medical Financial Counselor

    Novus Group 4.8company rating

    Novus Group job in Washington, PA

    Financial Counselor, Washington, PA 15301 Full-TimeDirect Hire as an employee of the Company with access to full benefits Daylight SchedulePay rate up to $21.00 per hour, as a new hire Promotional pay increases and dedicated career ladders, after hire Can earn up to $27 per hour, after hire and through performance-based progress This isn't just a front-office role; it's a mission-critical position where you directly alleviate financial stress for oncology patients, ensuring they can focus entirely on their treatment.If you are a detail-oriented medical office professional with expertise in insurance verification and financial support, and you are passionate about patient care, we want to hear from you. What You'll Do (Key Responsibilities):You will serve as the financial bridge for our patients, managing all aspects of the billing and coverage process to ensure seamless care. Your key responsibilities include: Secure Authorization & Verification: Promptly obtain and track all required prior authorizations and referrals from specific payers before treatments and visits. Determine Financial Eligibility: Conduct comprehensive evaluations of self-pay patients and those prescribed non-reimbursable drugs to identify eligibility for financial assistance programs, drug reimbursement policies, and Medical Assistance. Patient Counseling: Meet with patients and their families to thoroughly explain financial obligations using the Summary of Patient Reimbursement and Liability Form, securing necessary approvals prior to service delivery. Process Management: Initiate Financial Assessment Applications for patients without adequate coverage and collaborate with the billing department to resolve complex or open insurance claims. Compliance: Maintain strict adherence to HIPAA regulations and patient confidentiality in all interactions. Why Join the Company? Meaningful Impact: Your work directly removes barriers to care, providing immense relief and support to patients undergoing cancer treatment. Work-Life Balance: Enjoy a stable Monday-Friday, Day Shift schedule with no evenings, weekends, or holidays. Team Collaboration: Work in a supportive, tight-knit environment alongside clinical and administrative staff who are all committed to exceptional patient experience. Qualifications & Skills:We are looking for a candidate who can hit the ground running, bringing both technical expertise and essential soft skills.Required Qualifications: High School Diploma or GED. 3+ years of professional work experience, preferably within a medical office setting. Proficiency in word processing and computer applications (EPIC experience strongly preferred). Preferred Knowledge & Experience: Strong knowledge of medical terminology. Familiarity with third-party payer rules and regulations. Understanding of credit and collections laws. Exceptional problem-solving and communication skills to effectively resolve issues and counsel patients.
    $21-27 hourly 60d+ ago
  • Certified Phlebotomist

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Secure your future with a direct-hire position as an employee of the company - this is not a temporary role, and you'll never pay a fee for our assistance. As a proud partner of the company, Novus Group is dedicated to helping you succeed. We provide comprehensive support, including resume fine-tuning, personalized interview coaching, compensation insights, and end-to-end navigation of the employment process, leading you directly to an offer. Job Status: Full-time Work Schedule: Daylight Company Overview:The Company, a non-profit healthcare organization, is a leader in providing high-quality, compassionate care to patients. With an extensive network of hospitals, clinics, and other medical facilities, the Company is dedicated to improving the health and well-being of the communities served. Job Summary:As a Certified Phlebotomist, you will play a crucial role in our healthcare team, responsible for the accurate and efficient collection of blood samples from patients. Your expertise and attention to detail will be essential in supporting the diagnostic and treatment processes, ensuring that our medical professionals have the necessary information to provide the best possible care. Key Responsibilities:- Perform venipuncture procedures to collect blood samples from patients, following established protocols and safety guidelines - Label and process collected samples, ensuring proper handling and storage - Communicate with patients to explain the blood collection process and address any concerns or questions - Maintain accurate documentation and records related to specimen collection - Assist in the preparation and organization of phlebotomy supplies and equipment - Adhere to all applicable healthcare regulations and quality standards Minimum Qualifications:- High school diploma or equivalent required- Phlebotomy Certification (PBT) from American Society for Clinical Pathology (ASCP)- Certified Phlebotomist with a minimum of 1 year of experience in a healthcare setting - Strong attention to detail and ability to follow precise procedures - Excellent communication and interpersonal skills to work effectively with patients and the medical team - Proficient in the use of phlebotomy equipment and techniques - Current CPR certification Compensation and Benefits:A competitive salary is offered to new hires of up to $21.00 per hour, commensurate with experience, as well as a comprehensive benefits package including health, dental, and vision insurance, retirement plan contributions, tuition reimbursement, and generous paid time off. In addition to your base salary, you have the potential to significantly increase your earnings. After hire, the Company offers performance-based raises and pathways for higher pay through continuous learning and education, with the potential to reach up to $29.00 hourly in this position. Equal Opportunity Employer:Our organization is committed to providing equal employment opportunities to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.
    $21-29 hourly 60d+ ago
  • Revenue Cycle Analyst (Healthcare Insurance)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Revenue Cycle Analyst (Health Insurance) Position Type: Full-Time, Permanent (Not Temporary) Shift: Day Job (Monday - Friday) Work Arrangement: Hybrid New Hire Pay Range: $25.40 - $30.00 per hour Opportunity to earn more: After hire, advancement opportunities to earn more through continuing education, performance-based increases and merit incentives can go up to $44.00 per hour. Fee Policy: There is no fee to use our services for your job search. About the Opportunity We are a dedicated Company partner assisting in the search for an Intermediate Revenue Cycle Analyst to join a high-performing Insurance Collections department. This is a full-time, permanent position offering long-term career stability, comprehensive benefits, and a hybrid work environment. Job SummaryIn this role, you will conduct moderately complex analysis of financial and operational Key Performance Indicators (KPIs). You will provide detailed written analysis, financial reports, and proposals outlining solutions for revenue cycle enhancements. You will also audit operations-including detailed reviews of accounts receivable-and work across departments to resolve outstanding issues. Key Responsibilities Data & Root Cause Analysis: Extract and analyze financial/operational datasets to identify root cause drivers of significant variances and trends. Executive Reporting: Prepare financial metrics and create high-quality, executive-level presentations summarizing key projects and metrics. Process Auditing: Facilitate audits of revenue cycle operations to ensure compliance with published protocols and Sarbanes-Oxley controls. Cross-Functional Collaboration: Partner with Finance and Clinical Administration to understand drivers of revenue outcomes and develop action plans to address issues. Project Management: Effectively manage the reporting request intake process, ensuring timely delivery and data integrity. Qualifications Education: Bachelor's degree in Finance, Business, or a related field. Experience: Minimum of one (1) year of related work experience. Alternative: High School Diploma/GED with three (3) years of related work experience. Technical Skills: Proficiency in Microsoft Excel is required. Familiarity with PeopleSoft General Ledger or similar ERP systems is preferred. Clearances: Must be able to obtain standard background clearances (Act 34). BenefitsOur partner provides a culture that cares for the "whole employee" with a robust benefits package: Time Off: Over 5 weeks of paid time off (PTO) per year. Retirement: Employer retirement contributions of up to 8% of eligible pay. Education: Up to $6,000 in annual tuition assistance, plus student loan assistance and tuition help for dependents. Health & Family: Affordable medical/dental/vision, 2 weeks of paid parental leave, and emergency child/elder care options. Career Path: Accelerated growth pathways and access to ongoing learning via LinkedIn Learning.
    $25.4-30 hourly 6d ago
  • Quality Assurance Analyst (Insurance Auditor Focus) Pittsburgh, PA 15219 (Downtown)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job Description Quality Assurance Analyst (Insurance Auditor Focus) - Pittsburgh, PA 15219 (Downtown) Status: Full-Time Shift: Day Job Work Arrangement: Hybrid (2 days in-office required, 3 days remote) Location: Pittsburgh, PA 15219 (Downtown) Department: Operational Risk Integrity Starting Pay Range: $24.00 - $29.00 per hour as a new hire, based on experience. Compensation increases: After hire and through promotional, performance-based increases, additional compensation can be earned up to $42.00 per hour. Continuous and experiential learning will be required to achieve pay increases. Comprehensive Benefits Package The Company offers competitive compensation and a full range of benefits designed to support your total well-being, including: Competitive Pay: Base wages, Merit Pay, and generous Premium Pay (Off-Shift Differential, Holiday Pay, Standby/Call-in Pay). Health & Wellness: Comprehensive Medical, Dental, Vision, and Prescription Drug Coverage, plus Flexible Spending Accounts (FSAs). Access to Employee Assistance Programs (EAP) and various Wellness Programs (e.g., stress management, weight management). Financial Security & Retirement: Cash Balance and Savings Plans, along with Basic Life, AD&D, and Disability Insurance. Time Off & Leave: Generous Vacation/Personal/Sick Time (PTO), Paid Holidays, Funeral Leave, and Paid Parental Leave. Professional Growth: Opportunities for Tuition Assistance, access to training resources, and defined Advancement Opportunities via Career Ladders and Internal Job Postings. Work-Life Support: Child and Elder Care Referrals, Legal Insurance, and Employee Discounts/Perks. Recognition: Programs like Merit Awards, ACES, and Service Awards to recognize your valuable contributions. The Quality Assurance Analyst is meticulous and analytical working with the Company's Operational Risk Integrity department in Pittsburgh, PA. This role functions as a critical Insurance Auditor Analyst, primarily responsible for ensuring the accuracy and integrity of the claim payment systems. This is a full-time, hybrid position, working daylight hours (Monday - Friday), requiring two days per week in our Pittsburgh office. Key Responsibilities As a core member of the Operational Risk Integrity team, you will: Claim Auditing: Conduct comprehensive prospective and retrospective audits of high dollar claims to verify payment accuracy and adherence to policy. Payment Integrity: Collaborate directly with Reimbursement and Configuration Specialists to identify, investigate, and resolve payment inaccuracies and ensure correct system configuration. Risk Mitigation: Analyze audit results, identify root causes of errors, and detect emerging error trends to recommend policy/procedure modifications and necessary staff training. Process Improvement: Drive continuous improvement by participating in and leading initiatives to target potential problems and enhance operational efficiency. Data Analysis & Reporting: Devise sampling methodologies, retrieve audit samples, and compile/report statistical data to internal stakeholders and external client audit teams. Stakeholder Management: Act as a subject matter expert to resolve complex or difficult issues, ensuring satisfaction for internal (Claims, Customer Service, Marketing) and external customers. Maintain strict confidentiality in all activities. Core Competencies and Minimum Qualification Requirements: Proven experience and knowledge of reimbursement mechanisms and clinical/procedural coding (e.g., CPT, ICD-10, HCPCS). Note: Five (5) years of claims processing experience, including commercial and government health insurance plans, may substitute for coding/reimbursement knowledge. Basic to intermediate understanding of managed care delivery systems. Excellent analytical skills and familiarity with basic statistical analysis. High level of oral and written communication skills for effective reporting and issue resolution. Highly detail-oriented with superior organizational skills. Technical Skills: Intermediate proficiency with Microsoft Excel (e.g., pivot tables, formulas). Intermediate proficiency with general MS Office products. Familiarity with reporting tools like MS Access or COGNOS is a plus.
    $24-29 hourly 16d ago
  • Medical Scheduling Representative (Surgery), Pittsburgh, PA 15213

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job DescriptionMedical Scheduling Representative (Surgery), Pittsburgh, PA 15213 Location: Pittsburgh, PA 15213 (Oakland area) Work Schedule: Monday-Friday, daylight hours, no nights, weekends, or holidays Starting Pay Rate: $19.00 - $22.00 per hour, to start Opportunity to earn more: There are clear opportunities to increase your earning potential after hire through performance-based pay raises and promotions. Through continuous learning and hard work, you have the potential to earn up to $29.00 per hour! This is a permanent, direct-hire position-you become an employee of the hiring company from day one, and our services are always 100% free to you. We help you with interview preparation, resume revision, compensation discussions, and we advocate for you with the hiring team.Benefits: Defined Career Path: Access to a clear professional trajectory with opportunities for skill growth and advancement within the vast Company system. Exceptional Benefits: Enjoy comprehensive health coverage (Medical, Vision, Dental), life/disability insurance, and one of the best retirement programs in the industry. Work-Life Balance: We offer generous Paid Time Off (PTO), wellness programs, and paid parental leave to support your life outside of work. Competitive Compensation: Earn competitive pay with access to merit increases for the critical work you do every day. Medical Scheduling Representative (Surgery) is an essential link between skilled surgeons, advanced practice providers, and patients requiring highly complex, tertiary care. Responsible for executing all necessary administrative, financial, and logistical steps to ensure seamless surgical patient flow and physician scheduling. Surgical & Clinical Coordination Schedule surgical cases, pre-screening exams, diagnostic testing, and post-operative appointments for all patients. Secure all necessary pre-certification and/or referrals prior to the procedure date. Coordinate cases and communicate with hospital personnel to obtain approval for all hospital admissions. Provide patients with clear pre- and post-operative instructions and ensure informed consents are signed and secured. Financial & Administrative Management Coordinate and track patient follow-up using the Refract Tracker and the EPIC system. Discuss and coordinate financial arrangements prior to surgery, including the collection of pre-payments. Ensure all billing and insurance information is current and accurate; requires in-depth knowledge of regulations (Medicare, BC/BS, Managed Care, Worker's Comp). Prepare and forward all necessary admission reservations/requisitions to hospitals. Communication & Operational Leadership Act as the primary liaison between patients and referring physicians, responding to all incoming telephone inquiries regarding surgery. Work directly with the department to troubleshoot procedural and operational issues. Manage various departmental needs, including coordinating patient education seminars, collecting research study data, and completing special projects as assigned. QualificationsRequired High school diploma or equivalent. Completion of a Medical Assisting program OR 2-4 years of experience in a medical field (scheduling, billing, or patient coordination). Strong organization, time management, and interpersonal skills. Proven ability to work independently and possess sound decision-making skills. Ability to deal compassionately and professionally with patients and their families. Preferred Skills Proficiency in medical terminology. Knowledge of the Epic practice management program. Demonstrated knowledge of insurance regulations (Medicare, Managed Care, BC/BS, Worker's Comp) regarding surgical scheduling and approvals. Experience in a high-volume surgical or specialty practice.
    $19-22 hourly 22d ago
  • Pediatric Front Office Coordinator (Express Care) Bridgeville, PA (On-Site)

    Novus Group 4.8company rating

    Novus Group job in Bridgeville, PA

    Job DescriptionPediatric Front Office Coordinator (Express Care) - Bridgeville, PA (On-Site) Status: Part-Time Work Arrangement: On-site Shift: Rotating (Evenings & Weekends) New Hire Salary Range: $18.79 - $21.20 per hour, to start Opportunity to Earn More: After hire, earn more through incremental, performance-based pay increases Benefits: Even in a part-time capacity, the Company supports your professional and personal well-being through the following programs: Financial Future: Access to a comprehensive retirement program, with a generous company match Health & Wellness: Eligibility for medical, dental, and vision plans, plus $0 preventive care Education: Up to $6,000 per academic year in tuition assistance to help you grow your career within the Company. Generous paid time off Perks: Paid Parental Leave, student loan refinancing options and much more! Pediatric Front Office Coordinators are the first point of contact for families seeking urgent pediatric care. You will balance clinical administrative tasks with compassionate customer service, ensuring that every child's visit begins with a smooth and welcoming registration process. Required Availability: As an Express Care facility, this role requires evening and weekend availability to support our community when they need it most. Mon-Fri: 4:30 PM - 9:00 PM Sat-Sun: 9:30 AM - 6:00 PM Key Responsibilities Patient Interaction: Greet families warmly, manage the check-in/check-out process, and collect copayments. Scheduling & Coordination: Arrange follow-up appointments and connect patients to necessary pediatric sub-specialties. Technology & Records: Utilize Epic and Biometrics for patient registration. Actively promote the patient portal to help parents stay connected to their child's health records. Financial Advocacy: Educate families on their financial responsibilities and provide information on available financial resources. Clinical Compliance: Perform insurance verification, obtain necessary consent signatures, and strictly adhere to HIPAA regulations to protect patient privacy. Administrative Support: Manage high-volume phone lines, scan medical records, and maintain a tidy, efficient front-office environment. Qualifications Education: High school diploma or equivalent required. Experience: ** Minimum Two (2) years of experience in a medical billing, healthcare registration, or medical customer service role Prior experience with Epic, Medipac, or similar electronic health record (EHR) systems is highly preferred. Skills: * Proficient typing skills and comfort with computer-based applications. Basic knowledge of medical terminology Strong communication skills and the ability to navigate complex insurance verification processes. Successful candidates will need to demonstrate a blend of high-level administrative accuracy and a "service-first" personality tailored to a pediatric environment.1. High "Pediatric IQ" and EmpathyIn an Express Care setting, parents are often stressed because their child is sick or injured after normal business hours. A successful candidate will: Remain calm and reassuring under pressure. Communicate with warmth and patience to both children and anxious caregivers. De-escalate tense situations involving long wait times or insurance frustrations. 2. Proficiency in Epic and Revenue CycleBecause registration and insurance verification are the "engine" of the clinic, top candidates will possess: Epic Experience: The ability to navigate patient charts, schedule follow-ups, and update demographics quickly. Insurance Fluency: A strong understanding of copayments, deductibles, and the difference between various plans (Medicaid vs. Commercial). Accuracy: Ensuring "clean" registrations to avoid billing errors later in the cycle. 3. "Express Care" Speed and Multi-tasking Unlike a standard doctor's office, Express Care has unpredictable "rushes." Successful candidates must: Manage a busy waiting room while simultaneously answering phones and scanning records. Efficiently transition between checking in a new arrival and checking out a departing patient. Take initiative during "down times" to clean the lobby, organize files, or assist clinical staff. 4. Financial Advocacy SkillsThe role requires more than just collecting money; it involves "Financial Advocacy." Successful candidates will: Comfortably discuss sensitive financial information with families. Explain UPMC's financial assistance resources to those in need. Educate parents on the benefits of using the patient portal for future bill pay and results. 5. Reliability and Schedule FlexibilitySince this is a Part-Time role with a rotating evening and weekend schedule, success depends on: Punctuality for late-afternoon shifts (starting at 4:30 PM). A "team-player" mindset when it comes to rotating weekend coverage. Consistent attendance to ensure the clinic remains appropriately staffed during peak hours.
    $18.8-21.2 hourly 13d ago
  • Compliance Specialist (Healthcare Insurance Regulations)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Compliance Specialist (Hybrid) Status: Full-Time, Direct Hire - employee of the Company (not a contract or temporary job) Work Arrangement: Hybrid (Combined Work from Home & In-Office requirement at the Pittsburgh office) New Hire Salary Range: $34.98 - $41.37 per hour based on match to job requirements and experience Opportunity to Earn More: After hire, performance-based increases can be earned Benefits: Health & Wellness: Multiple medical plan options (HSA/FSA eligible), $0 preventive care Financial Future: A comprehensive retirement program, some plans have a 50% match on the first 4% of your contributions. Education: Up to $6,000 per academic year in tuition assistance for you and your dependents. Work-Life Balance: A hybrid schedule (home/office), 7 paid holidays, and up to 5.5 weeks of accrued PTO per year. Extra Perks: Paid Parental Leave, Student Loan Refinancing, and much more! The Compliance Specialist is integral to the Corporate Compliance and Ethics Program. You will work alongside the Compliance Officer and Committee to ensure our health insurance practices meet federal, state, and local regulations while mitigating operational risks.The ideal candidate is a self-motivated professional who thrives in an independent working environment and takes proactive initiative in regulatory oversight. Responsibilities Strategic Reporting: Assist in developing dashboards, metrics, and reports for senior management and the Board to demonstrate Compliance Program effectiveness. Risk & Policy Management: Perform regular gap analyses and risk assessments. Draft, adapt, and review Compliance policies and procedures to ensure internal operations remain consistent and accurate. Remediation: Develop and oversee corrective action plans and remediation protocols to ensure timely compliance across all departments. Regulatory Liaison: Act as a representative during regulatory agency reviews, investigations, and requests for information. Industry Expertise: Keep abreast of changing industry laws and standards. Communicate contractual requirements throughout the health plan and research complex regulatory inquiries. Collaboration: Coordinate with internal subject matter experts (SMEs) and business teams to support regulatory product filings, proposal development, and service area expansions. Training: Support Program Leadership in conducting annual and ongoing compliance training for staff and applicable third parties. Qualifications Education: Bachelor's degree required. A Juris Doctor (JD) or Master's degree in a related field is a plus. Experience: Direct experience conducting compliance assessments, audits, or risk assessments. Five (5) years of compliance or legal experience preferred, specifically on the insurance (payer) side. Pennsylvania-specific regulatory experience is highly preferred. Knowledge Base: Proficiency in Medicaid/Medicare Managed Care and various lines of business (Commercial, CHIP, Marketplace). Expert level experience with Medicaid and/or Medicare managed care and with the different lines of business/benefits (i.e., Commercial, Medicaid, CHIP, Marketplace
    $35-41.4 hourly 14d ago
  • Medical Office Assistant (Patient Services & Billing)

    Novus Group 4.8company rating

    Novus Group job in Monroeville, PA

    Medical Office Assistant (Patient Services & Billing) Hours: Full-Time, Monday - Friday, Daytime Schedule Impact: You will set the standard for the entire Patient Experience. Starting Pay: Up to $20.00 per hour, based on skills, education, and experience. The Company offers clear opportunities to increase your earning potential, after hire, through performance-based pay raises and promotions. Through continuous learning and hard work, you have the potential to earn up to $26.00 per hour! This is a permanent, direct-hire position-you become an employee of the hiring company from day one, and our services are always 100% free to you. Novus Group supports your success by acting as your dedicated advocate with the hiring team, providing expert resume revision, guiding your compensation discussions, and helping you to prepare for your interviews. We are a partner of the Company, so our services are 100% free to job seekers. What the Company Offers You We invest in our people because you are the key to our success and our mission. Defined Career Path: Access to a clear professional trajectory with opportunities for skill growth and advancement within the vast Company system. Exceptional Benefits: Enjoy comprehensive health coverage (Medical, Vision, Dental), life/disability insurance, and one of the best retirement programs in the industry. Work-Life Balance: We offer generous Paid Time Off (PTO), wellness programs, and paid parental leave to support your life outside of work. Competitive Compensation: Earn competitive pay with access to merit increases for the critical work you do every day. Your Impact and Contribution: As a Medical Office Assistant, you are the crucial first impression. You won't just process paperwork-you'll use your compassion and problem-solving skills to guide patients through the complexities of healthcare. Be the Patient Advocate: Warmly welcome every patient and empower them by clearly explaining financial obligations, insurance coverage, and required next steps. Drive Seamless Care: Master the scheduling and triage process to ensure a flawless transition between appointments, follow-ups, and ancillary services. Promote Innovation: Help patients connect to care through modern technology, including the patient portal and self-arrival systems. Collaborate and Grow: Work closely with physicians and clinical staff, leveraging your independent judgment to achieve desired patient outcomes throughout the continuum of care. What You Will Be Doing (Your Responsibilities) Patient Service & Communication, Administrative & Technical Mastery Warmly greet and check-in/out all patients.Confirm and verify insurance benefits with carriers. Collect copayments and other patient payments.Update patient registration information accurately. Educate patients on financial responsibility and connect them to advocacy resources.Schedule follow-up and ancillary appointments. Triage phone calls and provide clear instructions to help patients navigate the healthcare system Master and utilize Epic (or other EMR systems) for charting. Requirements & Preferred Experience High school diploma or equivalent is required. Minimum Two (2) years of experience in a medical, billing, or high-volume customer service role is strongly preferred. (Show us your experience managing complex customer interactions!) Knowledge of medical terminology is a plus. Prior experience with health records systems (e.g., Epic) is highly valued. Proficiency with PC applications and strong typing skills.
    $20-26 hourly 60d+ ago
  • Medical Financial Counselor

    Novus Group 4.8company rating

    Novus Group job in Washington, PA

    Job DescriptionFinancial Counselor, Washington, PA 15301 Full-TimeDirect Hire as an employee of the Company with access to full benefits Daylight SchedulePay rate up to $21.00 per hour, as a new hire Promotional pay increases and dedicated career ladders, after hire Can earn up to $27 per hour, after hire and through performance-based progress This isn't just a front-office role; it's a mission-critical position where you directly alleviate financial stress for oncology patients, ensuring they can focus entirely on their treatment.If you are a detail-oriented medical office professional with expertise in insurance verification and financial support, and you are passionate about patient care, we want to hear from you. What You'll Do (Key Responsibilities):You will serve as the financial bridge for our patients, managing all aspects of the billing and coverage process to ensure seamless care. Your key responsibilities include: Secure Authorization & Verification: Promptly obtain and track all required prior authorizations and referrals from specific payers before treatments and visits. Determine Financial Eligibility: Conduct comprehensive evaluations of self-pay patients and those prescribed non-reimbursable drugs to identify eligibility for financial assistance programs, drug reimbursement policies, and Medical Assistance. Patient Counseling: Meet with patients and their families to thoroughly explain financial obligations using the Summary of Patient Reimbursement and Liability Form, securing necessary approvals prior to service delivery. Process Management: Initiate Financial Assessment Applications for patients without adequate coverage and collaborate with the billing department to resolve complex or open insurance claims. Compliance: Maintain strict adherence to HIPAA regulations and patient confidentiality in all interactions. Why Join the Company? Meaningful Impact: Your work directly removes barriers to care, providing immense relief and support to patients undergoing cancer treatment. Work-Life Balance: Enjoy a stable Monday-Friday, Day Shift schedule with no evenings, weekends, or holidays. Team Collaboration: Work in a supportive, tight-knit environment alongside clinical and administrative staff who are all committed to exceptional patient experience. Qualifications & Skills:We are looking for a candidate who can hit the ground running, bringing both technical expertise and essential soft skills.Required Qualifications: High School Diploma or GED. 3+ years of professional work experience, preferably within a medical office setting. Proficiency in word processing and computer applications (EPIC experience strongly preferred). Preferred Knowledge & Experience: Strong knowledge of medical terminology. Familiarity with third-party payer rules and regulations. Understanding of credit and collections laws. Exceptional problem-solving and communication skills to effectively resolve issues and counsel patients.
    $21-27 hourly 15d ago
  • Certified Phlebotomist (Blawnox/Pittsburgh, PA 15215)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job DescriptionCertified Phlebotomist: Full-Time - Variable Shifts - Pittsburgh, PA 15215 (Blawnox Area) Status: Full-Time, Regular Work Arrangement: On-site Pay Range: up to $20.00 per hour as a new employee. Promotional performance-based increases can be earned, after hire. This position requires flexibility with variable shift options (Daylight, Evening, Night) and participation in holiday and weekend rotations. Comprehensive Benefits Package The Company offers competitive compensation and a full range of benefits designed to support your total well-being, including: Competitive Pay: Base wages, Merit Pay, and generous Premium Pay (Off-Shift Differential, Holiday Pay, Standby/Call-in Pay). Health & Wellness: Comprehensive Medical, Dental, Vision, and Prescription Drug Coverage, plus Flexible Spending Accounts (FSAs). Access to Employee Assistance Programs (EAP) and various Wellness Programs (e.g., stress management, weight management). Financial Security & Retirement: Cash Balance and Savings Plans, along with Basic Life, AD&D, and Disability Insurance. Time Off & Leave: Generous Vacation/Personal/Sick Time (PTO), Paid Holidays, Funeral Leave, and Paid Parental Leave. Professional Growth: Opportunities for Tuition Assistance, access to training resources, and defined Advancement Opportunities via Career Ladders and Internal Job Postings. Work-Life Support: Child and Elder Care Referrals, Legal Insurance, and Employee Discounts/Perks. Recognition: Programs like Merit Awards, ACES, and Service Awards to recognize your valuable contributions. Successful Phlebotomist candidates are compassionate professionals committed to upholding the highest standards of safety and accuracy to support critical diagnostic testing and exceptional patient outcomes. Core Responsibilities As a phlebotomist, you will be the face of the lab, ensuring accurate and reliable specimen collection and outstanding patient care: Expert Collection: Perform accurate blood specimen procurement via venipuncture, heelstick, and fingerstick, strictly following proper patient identification and safety protocols. May instruct patients on self-collection procedures and collect non-blood samples. Customer Service: Interact professionally and courteously with all laboratory customers and handle telephone inquiries promptly. Logistics & Data Entry: Safely transport specimens from on-site and off-site locations. Utilize various computer systems for accurate data entry, order processing (receive, cancel, charge, credit), and ensuring sample identity. Compliance & Safety: Maintain strict adherence to all laboratory and hospital policies, including hand hygiene, proper isolation precautions, quality control, and compliance standards. Team Support: Demonstrate dependability, reliability, and independent judgment in prioritizing needs. May participate in training new staff and must promptly report unusual or problematic incidents to supervisory personnel. Inventory: Monitor and maintain necessary supplies in a cost-effective manner. Advanced Procedures (as needed): May perform arterial puncture following strict collection and post-collection guidelines. Minimum Qualification Requirements: High school diploma or equivalent. Certification from an accredited Phlebotomy or Medical Assistant program; Phlebotomy Technician (PBT(ASCP)) or equivalent Minimum 6 months of experience performing phlebotomy procedures. Knowledge of medical terminology and prior experience with a Laboratory Information System (LIS).
    $20 hourly 16d ago
  • Revenue Cycle Analyst (Healthcare Insurance)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Job DescriptionRevenue Cycle Analyst (Health Insurance) Position Type: Full-Time, Permanent (Not Temporary) Shift: Day Job (Monday - Friday) Work Arrangement: Hybrid New Hire Pay Range: $25.40 - $30.00 per hour Opportunity to earn more: After hire, advancement opportunities to earn more through continuing education, performance-based increases and merit incentives can go up to $44.00 per hour. Fee Policy: There is no fee to use our services for your job search. About the Opportunity We are a dedicated Company partner assisting in the search for an Intermediate Revenue Cycle Analyst to join a high-performing Insurance Collections department. This is a full-time, permanent position offering long-term career stability, comprehensive benefits, and a hybrid work environment. Job SummaryIn this role, you will conduct moderately complex analysis of financial and operational Key Performance Indicators (KPIs). You will provide detailed written analysis, financial reports, and proposals outlining solutions for revenue cycle enhancements. You will also audit operations-including detailed reviews of accounts receivable-and work across departments to resolve outstanding issues. Key Responsibilities Data & Root Cause Analysis: Extract and analyze financial/operational datasets to identify root cause drivers of significant variances and trends. Executive Reporting: Prepare financial metrics and create high-quality, executive-level presentations summarizing key projects and metrics. Process Auditing: Facilitate audits of revenue cycle operations to ensure compliance with published protocols and Sarbanes-Oxley controls. Cross-Functional Collaboration: Partner with Finance and Clinical Administration to understand drivers of revenue outcomes and develop action plans to address issues. Project Management: Effectively manage the reporting request intake process, ensuring timely delivery and data integrity. Qualifications Education: Bachelor's degree in Finance, Business, or a related field. Experience: Minimum of one (1) year of related work experience. Alternative: High School Diploma/GED with three (3) years of related work experience. Technical Skills: Proficiency in Microsoft Excel is required. Familiarity with PeopleSoft General Ledger or similar ERP systems is preferred. Clearances: Must be able to obtain standard background clearances (Act 34). BenefitsOur partner provides a culture that cares for the "whole employee" with a robust benefits package: Time Off: Over 5 weeks of paid time off (PTO) per year. Retirement: Employer retirement contributions of up to 8% of eligible pay. Education: Up to $6,000 in annual tuition assistance, plus student loan assistance and tuition help for dependents. Health & Family: Affordable medical/dental/vision, 2 weeks of paid parental leave, and emergency child/elder care options. Career Path: Accelerated growth pathways and access to ongoing learning via LinkedIn Learning.
    $25.4-30 hourly 5d ago
  • Certified Medical Assistant

    Novus Group 4.8company rating

    Novus Group job in Mars, PA

    Medical Assistant (Certified) Hours: Monday - Friday, 7:30 AM - 4:00 PM (Occasional 10:30 AM - 7:00 PM shift) Weekends/Holidays: None Career Path: Applicants will be placed within the Medical Assistant Career Ladder based on experience and education. Starting Pay Rate: up to $21.00 per hour, to start, for well-qualified, successful candidates Promotional Opportunities: After hire, employees can earn additional pay increases based on performance, over time. Benefits: Outstanding benefits to include health, dental, vision, generous paid time off and much more! Operating in a fast-paced OB/GYN setting, you will be a vital link between the providers and the patients. This role requires a blend of clinical precision and empathetic communication, ensuring every patient feels supported from the moment they check in until their visit is complete. Qualifications (Mandatory) Certification Required: Current Medical Assistant Certification (CMA) or Registered Medical Assistant (RMA) from an approved entity (e.g., AAMA, AMT, NHA, NCCT) is required. Education: High school diploma or equivalent. Experience: At minimum, 6 months' previous Medical Assistant experience, preferably within Women's Health or OB/GYN. Technical Skills: Proficiency in Electronic Health Records (EHR), basic computer skills, and a strong command of medical terminology. What You'll DoClinical Excellence (Back Office) Patient Intake: Organize patient flow, escort patients to rooms, collect vital signs, and document medical history/screenings per guidelines. Procedure Support: Perform phlebotomy, EKGs, and level one labs. Assist physicians during OB/GYN-specific clinical procedures. Medication Administration: Under physician supervision, safely administer injectable medications and vaccines. Specimen & Equipment: Collect specimens, set up surgical/exam instruments, and maintain strict infection control through room sterilization and inventory restocking. Patients may be visiting for both joyous reasons (pregnancy) and difficult ones (infertility or loss). Your empathy is as important as your technical skill. Anticipation: You stay one step ahead of the physician, having the right instruments ready before they are requested. Administrative & Coordination (Front Office) Record Management: Manage patient medical records in strict accordance with HIPAA and state/federal regulations. Patient Advocacy: Relay instructions to families, provide patient education as directed by providers, and answer clinical inquiries over the phone. Office Operations: Schedule appointments, verify insurance coverage, manage patient demographics, and obtain necessary lab/x-ray reports or referrals. Compliance & Safety Ensure full compliance with OSHA, CLIA, and PA Department of Health regulations. Maintain a safe, clean environment according to scheduled maintenance programs. Why Choose this Company? No Weekends: Enjoy a predictable weekday schedule with no holiday requirements. Career Ladder: We don't just offer a job; we offer a path. Our career ladder ensures your salary and title grow as your experience does. Comprehensive Benefits: Access to world-class health, vision, and dental insurance, retirement plans, and tuition reimbursement.
    $21 hourly 28d ago
  • Certified Phlebotomist (Blawnox/Pittsburgh, PA 15215)

    Novus Group 4.8company rating

    Novus Group job in Pittsburgh, PA

    Certified Phlebotomist: Full-Time - Variable Shifts - Pittsburgh, PA 15215 (Blawnox Area) Status: Full-Time, Regular Work Arrangement: On-site Pay Range: up to $20.00 per hour as a new employee. Promotional performance-based increases can be earned, after hire. This position requires flexibility with variable shift options (Daylight, Evening, Night) and participation in holiday and weekend rotations. Comprehensive Benefits Package The Company offers competitive compensation and a full range of benefits designed to support your total well-being, including: Competitive Pay: Base wages, Merit Pay, and generous Premium Pay (Off-Shift Differential, Holiday Pay, Standby/Call-in Pay). Health & Wellness: Comprehensive Medical, Dental, Vision, and Prescription Drug Coverage, plus Flexible Spending Accounts (FSAs). Access to Employee Assistance Programs (EAP) and various Wellness Programs (e.g., stress management, weight management). Financial Security & Retirement: Cash Balance and Savings Plans, along with Basic Life, AD&D, and Disability Insurance. Time Off & Leave: Generous Vacation/Personal/Sick Time (PTO), Paid Holidays, Funeral Leave, and Paid Parental Leave. Professional Growth: Opportunities for Tuition Assistance, access to training resources, and defined Advancement Opportunities via Career Ladders and Internal Job Postings. Work-Life Support: Child and Elder Care Referrals, Legal Insurance, and Employee Discounts/Perks. Recognition: Programs like Merit Awards, ACES, and Service Awards to recognize your valuable contributions. Successful Phlebotomist candidates are compassionate professionals committed to upholding the highest standards of safety and accuracy to support critical diagnostic testing and exceptional patient outcomes. Core Responsibilities As a phlebotomist, you will be the face of the lab, ensuring accurate and reliable specimen collection and outstanding patient care: Expert Collection: Perform accurate blood specimen procurement via venipuncture, heelstick, and fingerstick, strictly following proper patient identification and safety protocols. May instruct patients on self-collection procedures and collect non-blood samples. Customer Service: Interact professionally and courteously with all laboratory customers and handle telephone inquiries promptly. Logistics & Data Entry: Safely transport specimens from on-site and off-site locations. Utilize various computer systems for accurate data entry, order processing (receive, cancel, charge, credit), and ensuring sample identity. Compliance & Safety: Maintain strict adherence to all laboratory and hospital policies, including hand hygiene, proper isolation precautions, quality control, and compliance standards. Team Support: Demonstrate dependability, reliability, and independent judgment in prioritizing needs. May participate in training new staff and must promptly report unusual or problematic incidents to supervisory personnel. Inventory: Monitor and maintain necessary supplies in a cost-effective manner. Advanced Procedures (as needed): May perform arterial puncture following strict collection and post-collection guidelines. Minimum Qualification Requirements: High school diploma or equivalent. Certification from an accredited Phlebotomy or Medical Assistant program; Phlebotomy Technician (PBT(ASCP)) or equivalent Minimum 6 months of experience performing phlebotomy procedures. Knowledge of medical terminology and prior experience with a Laboratory Information System (LIS).
    $20 hourly 47d ago

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