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Clinical Reimbursement Manager
Inglis
Manage prior authorizations, medication logistics, and reimbursement for the clinic.
9d ago
$78,000 - $90,000
Expert & Leadership (13+ years), Experienced (8-12 years)
Full Time
Philadelphia, PA
Onsite
Company Size
501 Employees
Service Specialisms
Construction services
Project Management
Engineering
Design
Property Development
Sector Specialisms
Government
Healthcare
Pharmaceuticals
Biotech
Food Production
Law Enforcement
Hospitality
Construction/Mining
Role
What you would be doing
documentation review
claims monitoring
insurance appeals
billing support
report review
medication management
- Investigates, verifies, and resolves any missing or incomplete information critical to the reimbursement and PA process.
- Performs ongoing monitoring of pending documents and ensures timely submission for reimbursement and PA.
- Initiates insurance claim investigations and appeals as needed.
- Ensures that all supporting documentation required for billing and reimbursement is completed timely and accurately.
- Reports missing documentation to the appropriate department supervisor and provides education and follow-up when necessary.
- Coordinates timely completion of necessary medical consults to support the reimbursement and PA process.
- Ensures correct documentation language and coding are used for denials, deferrals, and medication modifications.
- Reviews weekly reports on PAs, appeals, and denials to ensure timely follow-up and resolution.
- Manages all aspects of specialty medication processing, including prior authorization (PA), ordering, tracking, and reimbursement.
What you bring
documentation practices
- Demonstrates comprehensive understanding of proper documentation practices and standards.
Information not given or found
Training + DevelopmentInformation not given or found
Interview process
Information not given or found
Visa SponsorshipInformation not given or found
Security clearanceInformation not given or found
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Company
Overview
Founded 1877
Century of Service
The organization has been dedicated to supporting independence for people with physical disabilities for over 145 years.
Over 300 Homes
Accessible Housing
Manages a significant number of apartment homes in Greater Philadelphia, ensuring affordable and accessible living options for individuals with disabilities.
$750M Revenue
Financial Impact
Annual revenues highlight the organization's substantial role in the healthcare and housing sectors, reflecting its wide-reaching influence.
- Began as a charitable mission focused on independence for people with physical disabilities.
- Built a specialty nursing home offering long-term rehabilitative care for adults with conditions like MS, CP, spinal injury, and stroke.
- Champions assistive-technology adaptations for daily living through Innovation Centers in Philadelphia and Pittsburgh.
- Typical projects include accessible home modifications, tech training, community employment support, and managing inclusive housing developments.
- Combines clinical care, independent-living services, and tech innovation under one roof—spanning nursing care, housing, and community programs.
- We value INCLUSION - ensuring everyone’s voices and choices are valued by respecting differences in perspective, listening with an open mind, and welcoming people to be their true, authentic selves without judgment.
- We value INTEGRITY - doing the right thing, even when it’s hard, even when no one is watching, and even if it’s unpopular; we are honest and take accountability for our roles and responsibilities.
- We value INNOVATION - evolving our practices to meet current and future needs; we are willing to take risks, experiment, and learn from our experiences.
- We value COMMUNICATION - a two‑way exchange of information that is honest and includes listening to understand and being both direct and respectful.
- We value COLLABORATION - partnering with internal and external stakeholders; harnessing individual and group energy and strengths to achieve impactful results.
- No publicly available net-zero target date or quantified sustainability goals found on website or LinkedIn.
- No annual greenhouse gas emissions data, energy usage metrics, or sustainability reporting available.
- No evidence of recognised environmental certifications, carbon offset programs, or renewable energy commitments.
- No disclosed information on waste management, water conservation, or other resource-efficiency initiatives.
0 Published
DEI Data Available
No numerical data or statistics related to diversity, equity, and inclusion are publicly disclosed.
- No detailed DEI strategy or gender-related statistics published on website or LinkedIn.
- No breakdown of workforce composition by gender available.
- No stated targets or outcomes related to improving gender diversity.
- No evidence of publicly disclosed inclusion training, employee resource groups, or DEI reporting.
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