• Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
    St. Luke's University Health Network (05/19/25)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include collaboration ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
    St. Luke's University Health Network (05/21/25)
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  • Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
    St. Luke's University Health Network (05/14/25)
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  • Executive Area Business Specialist…

    J&J Family of Companies (Philadelphia, PA)
    …and processes (ie, eligibility and benefit verification, pre-authorization, billing, coding , claims, and appeals /grievances); practice management; Medicare and ... are searching for the best talent for Area Business Specialist to be in Philadelphia PA & surrounding suburbs....every step of the way. As the Area Business Specialist (ABS), you will: . Ensure appropriate identified new… more
    J&J Family of Companies (05/21/25)
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  • Accounts Receivable Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
    St. Luke's University Health Network (05/17/25)
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  • Pre- Access Authorization Specialist

    Intermountain Health (Harrisburg, PA)
    **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested + Contacts patient/provider when… more
    Intermountain Health (05/16/25)
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