Coding 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 ...

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 ...

The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned MS-DRG or APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers ...

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a cultu ...

The Patient Access Appeals Specialist plays a critical role in securing payer coverage for patients by partnering with internal teams to provide customer support throughout the appeals process. · Partner with internal partners to secure HFX Access and drive effective pull-through ...

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a cultu ...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excelle ...

+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 ...

Overview · Job Summary · The Laboratory AR Billing Specialist is responsible for managing accounts receivable related to laboratory services, including insurance claim follow-up, denial resolution, payment posting review, and collections. This role ensures timely reimbursement fr ...

Job Summary · The AR Billing Manager is responsible for managing the laboratory revenue cycle related to accounts receivable, billing operations, and reimbursement processes. This role ensures accurate claim submission, effective denial management, and timely collections from ins ...

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 ...

The DME Billing Specialist is responsible for the accurate and timely submission of durable medical equipment (DME) claims.This role plays a critical part in ensuring clean claims and maximizing reimbursements. · ...

Job Title: DME Billing Specialist · Position Overview · The DME Billing Specialist is responsible for the accurate and timely submission, follow-up, and reconciliation of durable medical equipment (DME) claims. This role plays a critical part in ensuring clean claims, maximizing ...

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 ...

The DME Billing Specialist is responsible for the accurate and timely submission and reconciliation of durable medical equipment (DME) claims. · Submit DME claims accurately and timely to Medicare, Medicaid MCOs , TRICARE and commercial payers. · Verify documentation requirements ...

Position Overview · The DME Billing Specialist is responsible for the accurate and timely submission, follow-up, and reconciliation of durable medical equipment (DME) claims. This role plays a critical part in ensuring clean claims, maximizing reimbursements, and maintaining comp ...

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 ...

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a cultu ...

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. · ...