- Cognizant (Harrisburg, PA)
- …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- System One (Canonsburg, PA)
- …and collaborate with teams, clients, partners, and stakeholders + Oversee project billing , client updates, QA/QC of deliverables, and project closeout + Prepare ... offer eligible employees health and welfare benefits coverage options including medical , dental, vision, spending accounts, life insurance, voluntary plans, as well… more
- Penn Medicine (East Petersburg, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... and scheduling with External Providers. Ensures compliance with hospital policies, billing guidelines, and payer policies. + Qualified individuals must have the… more
- Penn State Health (Hershey, PA)
- **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** PRN **FTE:** 0.001 **Shift:** Day **Hours:** 8 **Recruiter Contact:** ... Clinical setting required. **PREFERRED QUALIFICATION(S):** + Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred. **WHY… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... work? Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... I** Job Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... + Performs all coding and abstracting for Penn Medicine by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Bala Cynwyd Hours: M-F, 8a-430p or similar Review coded medical records for coding and DRG and/or Evaluation and...coding staff, the coding quality review staff, Office of Billing Compliance, providers, etc. + Identify, communicate, and refer… more
- AmeriHealth Caritas (Philadelphia, PA)
- …involves outreach to appellants or their representatives, obtaining and reviewing medical records, packaging pertinent information into a case for determination, ... appeals, ensuring compliance with all regulatory milestones + Review medical records to identify Hospital-Acquired Conditions (HAC), ensure proper documentation,… more
- UPMC (Coudersport, PA)
- UPMC Cole Memorial Medical Group is currently hiring a casual (per diem) Office Assistant I to join our Outpatient team. Are you looking to gain experience in the ... medical field? This is a busy group with great...referrals. Use computer system to generate information necessary for billing . + Answer questions regarding patient appointments and testing.… more