- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- St. Luke's University Health Network (Allentown, PA)
- …after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include collaboration ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
- Geisinger (Danville, PA)
- …Degree = 2 years; Bachelor's Degree = 4 years). Certification requirement: CPC-Certified Coding Specialist through AAPC or CCS- Certified Coding ... Minimum of 2 years-Clinical (Preferred) Certification(s) and License(s) Certified Coding Specialist - American Health Information Management Association… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …a Federally Qualified Health Center (FQHC), seeking a Prior Authorization Specialist . Prior Authorization Specialist ensures that healthcare services, ... and insurance companies, this role streamlines the authorization process. The Specialist will assist SHHC Providers in managing and maintaining electronic or… more
- WellSpan Health (York, PA)
- …to resolve billing edits and billing inquiries. + Works in conjunction with Financial Specialist when submitting for appeals for payer denials or requests for ... Summary Supports clinical areas throughout the System in charge capture, coding accuracy and revenue management. Maintains the department's chargemaster, in… more