- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party ... orientation. JOB DUTIES AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and… more
- Penn Medicine (East Petersburg, PA)
- …with appropriate documentation. + Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, ... are met in an appropriate manner. Responsibilities: + Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve… more
- Datavant (Harrisburg, PA)
- …+ Minimum 3-5 years of experience in healthcare revenue cycle with focus on denials management . + Strong knowledge of the entire revenue cycle including ... serves as a key liaison between coding, billing, utilization review, case management , and payer relations to reduce denials and improve revenue leakage.… more
- Cognizant (Harrisburg, PA)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. ... The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member of the Cognizant team… more
- Penn Medicine (East Petersburg, PA)
- …new providers joining the practices to ensure understanding current evaluation and management guidelines Identify patterns in denials working with appropriate ... living your life's work? Summary: + Position Summary: + The Coding Specialist is responsible for supporting Penn Medicine Lancaster General Health Physicians LGHP… more
- UPMC (Wexford, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The… more
- UPMC (Pittsburgh, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position is a part-time position with daylight hours,… more
- UPMC (Pittsburgh, PA)
- …the area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate the ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...for the position. Essential Functions: 1. Identifies and evaluates denials for assigned payers and/or specialties to determine specific… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This opportunity works Monday through Friday during daylight hours. The position ... will be fully remote! In this role, the DRG Specialist II will review clinical documentation within the medical...amount of optimization and missed opportunities. Meet with coding management as scheduled to review progress, discuss problems, and… more