- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... of diagnosis and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed… more
- Hunterdon Health Care System (Flemington, NJ)
- …with the Billing Supervisor to develop and implement bill edits and prevent denials . Responsible for denial management processes for assigned billing and ... Position Summary Billing Specialist will work at the HMC Business Office and will be assigned to report to a Supervisor within the Business Office. The position is… more