- Highmark Health (Trenton, NJ)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more