- Penn Medicine (Philadelphia, PA)
- …+ CCS or CPC + One of the following is strongly preferred Certified Coding Specialist -CCS or CCS-H (AHIMA) or CPC (AAPC) or Certified Outpatient ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- St. Luke's University Health Network (East Stroudsburg, PA)
- …as a clean paid claim. JOB DUTIES AND RESPONSIBILITIES: + Utilize fundamental billing and coding knowledge to resolve warnings and errors, ensuring accurate ... ability to pay for health care. The Charge Review Specialist is responsible for ensuring accurate and timely revenue...related to policies of various insurance companies and Epic-related billing functions. + Ensure compliance with coding … more
- Guthrie (Sayre, PA)
- …License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: ... on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge...resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff… more
- UPMC (Pittsburgh, PA)
- …as necessary. Counsel/train coders on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting ... and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR… more
- Datavant (Harrisburg, PA)
- …and software tools. The specialist serves as a key liaison between coding , billing , utilization review, case management, and payer relations to reduce ... Monitor and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing , and medical necessity. + Analyze denial… more
- Guthrie (Sayre, PA)
- …High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: ... in staffing and employment issues. Serves as a resource specialist within the department. Trains Insurance Billing ...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding … more
- Globus Medical, Inc. (Collegeville, PA)
- …Functions:** + Work with field-based sales team to provide reimbursement-related support ( Coding , Billing , Payment, Medical Policy) to customers. + ... At Globus Medical , we move with a sense of urgency...resolution. + Establish relationships with key institution/accounts associated with coding , billing , reimbursement. + Work cross-functionally with… more
- St. Luke's University Health Network (Allentown, PA)
- …for medical necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other ... to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials...issues that may require record review. Provides billing with information needed to obtain payment of claims.… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …for all in need. RECRUITMENT REQUIREMENTS High school diploma or GED. Experience in medical billing or healthcare accounts receivable experience; medical ... Knowledge of third party payer contracting language and reimbursement terms. Knowledge of medical terminology, ICD10, CPT, and HCPC coding Familiar with multiple… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …to provide proof of official transcript or diploma. + 5+ years experience in medical billing or healthcare accounts receivable experience; medical billing ... to apply today. SUMMARY OF JOB The Sr. A/R Specialist - is responsible for the claim submission and...payer contracting language and reimbursement terms. + Knowledge of medical terminology, ICD10, CPT, and HCPC coding .… more