NewClaims and Denial Coding Analyst St. Luke's Health Network, Inc.Claims and Denial Coding AnalystAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
Network Coordinator, Coding Audit & Education St. Luke's Health Network, Inc.Network Coordinator, Coding Audit & EducationAllentown, PAFull timeMust maintain and be credentialed in at least ONE of the following AHIMA and/or AAPC recognized Professional Coding Certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Reviews and validates coded medical records to assess coding accuracy, documentation integrity, compliance risk, and reimbursement impact related to ICD-10-CM/PCS, CPT/HCPCS, DRG/APC assignment, modifiers, and applicable payment methodologies.
Coding Appeals Specialist St. Luke's Health Network, Inc.Coding Appeals SpecialistAllentown, PAPart timeThe Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
Emergency Department Coder St. Luke's Health Network, Inc.Emergency Department CoderAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Professional Fee Coder St. Luke's Health Network, Inc.Professional Fee CoderAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Professional Fee Coder (Radiology exp preferred) St. Luke's Health Network, Inc.Professional Fee Coder (Radiology exp preferred)Allentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Per Diem Professional Fee PA/NJ Remote Coder St. Luke's Health Network, Inc.Per Diem Professional Fee PA/NJ Remote CoderAllentown, PARemotePart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician BillingAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Revenue Cycle Operational Improvement Specialist St. Luke's Health Network, Inc.Revenue Cycle Operational Improvement SpecialistAllentown, PAFull timeContent includes but is not limited to the following: registration, insurance, online eligibility, address verification, financial clearance, financial counseling, price estimates, price transparency, business office procedures, work queue’s, customer service, scheduling, referral/authorizations, etc. Schedules and performs Revenue Cycle Workshop for hospital and SLPG new hire and existing employees to explain the impact various departments have on the revenue cycle and gain a stronger understanding of their individual roles within the revenue cycle.
NewFinancial Counselor (Full Time, Days. Bilingual Preferred) St. Luke's Health Network, Inc.Financial Counselor (Full Time, Days. Bilingual Preferred)Allentown, PAFull timeUtilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
NewCoding Quality Analyst UnitedHealth Group IncCoding Quality AnalystNewtown Square, PA$23.89–$42.69 / hourFollows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical literature as provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines.
Financial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PA Eurofins Scientific SEFinancial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PALancaster, PA$80,000–$90,000 / yearThe Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in discovery pharmacology, forensics, advanced material sciences and Eurofins Scientific 2/2 March 2023 agroscience contract research services. With climate change posing an imminent threat, Eurofins and its many companies recognize their duty to proactively reduce or offset the environmental impact of essential operations while also helping our clients do the same-serving as a true ESG Enabler.
NewBilling Representative FT TEAMCare Behavioral Health LLCBilling Representative FTLancaster, PAFull timeMajor Duties and Responsibilities include:Ensuring health providers are paid for medical services renderedPayment postingReviewing patient medical recordsCoordinating reimbursement activities with payersBilling patients for medical servicesVerifying medical insurance Utilizing EMR software/clearinghouse to perform medical billing and coding functionsCreating and submitting disputes, reconsiderations, investigations, and appeals to insurance carriersMay be handling claims, collections, reimbursements, transfers, and insurance fraud issues in writing and over the phone directly with carriers and patientsQualificationsPrevious medical billing experience preferredExcellent organizational skills as well as oral and written communication skills and exceptional detail orientation. The Billing Representative is responsible for ensuring compliance with TEAMCare's billing and collections policies and procedures, timely and accurate invoicing, as well as inputting and monitoring documents, transactions and records impacting the Accounts Receivable system.
Billing/Payer Enrollment Specialist (62781) Union Community CareBilling/Payer Enrollment Specialist (62781)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. Communicating with payers, providers, and other entities to quickly and accurately obtain or provide information beneficial to the credentialing or enrollment needs of the organization.
Coder I - Remote The Center for Orthopedic and Research ECoder I - RemoteWest Chester, PARemotePart timeOur facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care. Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 150 providers across 50+ locations.
Financial Coordinator - Pharmacy SchuylkillFinancial Coordinator - PharmacyAllentown, PennsylvaniaFinally, Lehigh Valley Hospital- Cedar Crest, Lehigh Valley Hospital- Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital- Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position.
Medical Assistant - Palmyra Penn State Milton S Hershey Medical CenterMedical Assistant - PalmyraPalmyra, PAMust meet current eligibility to sit for the exam with attainment of certification or registration through one of the Penn State Health approved agencies for Medical Assistants within 90-days of employment date or current active status as a Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) through one of the Penn State Health approved agencies for Medical Assistant certification required. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
Revenue Analyst Main Line Health SystemRevenue AnalystNewtown Square, PA$65,520–$101,504 / yearWorking closely with Revenue Cycle leadership, Account Managers, and practice leadership teams, you will monitor key performance indicators, identify trends and opportunities for improvement, and help drive solutions that enhance efficiency, reduce account receivable lag, and optimize reimbursement. What You Bring: 3-5 years healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (EPIC Resolute preferred).
Medical Optometrist - LensCrafters - Exton, PA EssilorLuxottica SAMedical Optometrist - LensCrafters - Exton, PAExton, PAIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Scheduling Coordinator (Dental Office) (FT) Nurture Dental Health PCScheduling Coordinator (Dental Office) (FT)Allentown, Pennsylvania$17–$22You will need to be comfortable with collecting copays, answering phones, scheduling appointments, and reviewing patient's treatment plans for this position. You must possess 2+ years of experience in the dental field and have experience with Open Dental/Dentrix or similar dental software.