- Elevance Health (Harrisburg, PA)
- ** Audit & Reimbursement Senior - Appeals ** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- Guthrie (Sayre, PA)
- … Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the health system. This role ensures timely ... or insurance with responsibility and management of billing and reimbursement . Essential Functions Denials & Appeals Management...reports to track denial rates, appeal success rates, and audit recoveries + Provide monthly summaries to senior… more
- Baylor Scott & White Health (Harrisburg, PA)
- …hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and ... to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor… more