• 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 analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
    St. Luke's University Health Network (10/07/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Harrisburg, PA)
    **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
    Intermountain Health (10/14/25)
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  • Patient Access Specialist

    Globus Medical, Inc. (Collegeville, PA)
    …Summary** **:** Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the ... initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support. The Patient Access … more
    Globus Medical, Inc. (10/02/25)
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  • Insurance Specialist II - Corporate Patient…

    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...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
    Guthrie (09/11/25)
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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 (08/13/25)
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  • Denials Prevention Specialist PRN

    Datavant (Harrisburg, PA)
    … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
    Datavant (10/08/25)
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  • Accounts Receivable Specialist - Hospital…

    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 (10/02/25)
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  • Case Manager

    PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
    …than the sum of its parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a ... interactions. + Keeps up to date with reimbursement process, billing/ coding nuances, insurance plans, payer trends, financial assistance programs, charitable… more
    PSKW LLC dba ConnectiveRx LLC (10/10/25)
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