RN Clinical Review Appeals Specialist - Allentown

The Coding Appeals Specialist analyzes patient medical records to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. · Conduct retrospective medical record reviews for diagnosis and procedure ...

+Job summary · The Coding Appeals Specialist analyzes patient medical records to assure properly assigned MS-DRG for appealing proposed changes by insurance providers. · +ResponsibilitiesAnalyzes patient medical records, claims data and coding on all diagnosis and procedure codes ...

The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. · Assures that ...

We are looking for a motivated and professional person to join our growing team We are a high-tech, fast-paced, privately owned dental practice. · This position oversees, submits, tracks, and records all insurance billing for this two-doctor practice. · ...

The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner services for the St. Luke's Physician Group. · Process ...

The Accounts Receivable Specialist is responsible for the billing and collection of accounts receivable for St. Luke's Hospital services and/or professional-fee billing for physician and advanced practitioner services.Process all UB04 and HCFA-1500 claims through the related bill ...

· This position oversees, submits, tracks, and records all insurance billing for a two-doctor practice. · Submit electronic and manual claims. · Enter insurance payments and explanation of benefits into patient charts. · ...

A dental insurance billing coordinator is needed for an oral surgery & general dentistry practice. · ...

+Job summary: · The Accounts Receivable Specialist I is responsible for the billing and collection of accounts receivable for St. Luke's Hospital services. · +Responsibilities:Process all UB04 and HCFA-1500 claims through the related billing system · Analyze daily aging of insura ...

+Job summary · The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable for either St. Luke's Hospital services and/or the professional-fee billing for physician and advanced practitioner services for the St. Luke's Physician G ...

Under general supervision of the sr. · network director of CDCI, · oversees and monitors coding<brOperationExceptions including but not limited to providing guidance · towithinpatientandoutpatientcodingprofessionalswhenneededandactsas · TheintentofthisjobdescriptionistoprovideaSu ...

Dental Insurance & Billing Coordinator: Oral Surgery & General Dentistry. · Experienced Oral Surgery and Dental Insurance billing specialist required for high-tech dental practice. This position oversees, submits, tracks, and records all insurance billing. · Submit electronic and ...

We are seeking a part-time detail-oriented Office Administrator to oversee the administration of our practice. · This role requires experience with Electronic Health Records (EHR), Insurance and the Revenue Cycle. · You will be responsible for ensuring that our digital workflows ...

We are a busy established behavioral health group practice seeking a highly experienced mental health billing specialist. · This role exists for one reason to take full ownership of our billing and revenue cycle inside TherapyNotes and keep money moving without hand-holding. · Th ...

Opportunity Highlights · Join our team-based care with well-educated dedicated support staff. · A culture where innovation is highly valued. · Exceptional compensation package consisting of & starting bonus, relocation reimbursement,$50000 loan forgiveness program, · We are St L ...

A Pediatrician is responsible for providing and maintaining quality medical care to patients in KidsPeace programs. · Ensure the maintenance of program specific medical policies, procedures and protocols in compliance with KidsPeace standards, · Adhere to evidence-based practice ...

Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the initial processing of received documentation through prior authorization, appeals support, detailed claims review and hotline. · ...

+Job summary · Infinitt North America is a company that provides solutions to hospitals and healthcare systems for imaging, reporting, artificial intelligence etc. · +ResponsibilitiesRadiology PACS Application Training · Radiology PACS Subject Matter Expert for Implementations · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified national organization offering competitive benefits including a fresh perspective on workplace flexibility. · ...

We take great pride in our top priority – patient care. We are indirectly involved in saving patient lives every day by providing a solution to hospitals and healthcare systems delivering imaging, reporting artificial intelligence etc. Our portfolio includes Picture Archiving Com ...