35 denials jobs at 27 companies in Pennsylvania

3mo
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Specialist-Sr Denials Management (Remote)
Spartanburg or Alabama or Arizona or Connecticut or Delaware or Florida or Georgia or Indiana or Kansas or Kentucky or Louisiana or Maryland or Michigan or North Carolina or Pennsylvania or Rhode Island or South Carolina or Virginia or West Virginia or Wisconsin
RemoteFull Time
Spartanburg Regional Healthcare System
Spartanburg Regional Healthcare System: Integrated healthcare system providing comprehensive medical and hospital services.
5+ YOE5+ years medical billing/collections experience with denials, appeals, ICD9/CPT-4 knowledge, EOB/remittance expertise, Microsoft Excel/Word proficiency, analytical and communication skills.
Microsoft Excel, Microsoft Word, Epic, ICD9, CPT-4
1mo
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Denials Management Assistant, Part Time
Allentown, Pennsylvania, United States
OnsitePart Time
St. Luke's University Health Network
St. Luke's University Health Network: Operates a network of hospitals and medical education facilities.
3+ YOEPrepare, assemble, submit and track payer appeals; retrieve clinical documentation from EMR; maintain accurate logs and reports; proficiency with Microsoft Word/Windows and Excel; 3+ years healthcare experience preferred; ability to meet strict deadlines.
Microsoft Word, Microsoft Windows, Microsoft Excel, Electronic Medical Records (EMR)
3w
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HB Inpatient Denials Integrity Specialist
Oak Brook or Alabama or Alaska or Arkansas or Arizona or Delaware or Florida or Georgia or Iowa or Illinois or Idaho or Indiana or Louisiana or Kansas or Kentucky or Maine or Michigan or Missouri or Mississippi or Montana or North Carolina or North Dakota or Nebraska or New Hampshire or New Mexico or Nevada or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Wisconsin or West Virginia or Wyoming
$33-$50/hr RemoteFull Time
Advocate Health
Advocate Health: Provides integrated clinical care through a network of hospitals.
4+ YOEAssociate degree, coding credential (AHIMA or AAPC), 4+ years hospital-based coding and revenue cycle experience, advanced knowledge of CPT/ICD-10/HCPCS, Medicare/Medicaid, EHR and Microsoft Office.
Microsoft Office, EHR
1w
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Coder II, Profee (Coding Denials)
Pittsburgh or Pittsburgh
$20-$32/hr RemoteFull Time
UPMC
UPMC: Integrated health system providing clinical care and medical insurance.
3+ YOEHigh school diploma or equivalent; coding program preferred. Requires 3 years coding experience or CPC certification, with knowledge of ICD-10-CM, CPT, medical documentation, denial resolution, and computer applications.
Microsoft Excel, ICD-10-CM, CPT, CPT Assistant, CCI
2mo
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PFS Representative CBO Billing Follow-up Denials Mgt
Phoenix or Alabama or Alaska or Arkansas or Arizona or California or Colorado or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Maryland or Michigan or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Hampshire or New York or New Mexico or Nevada or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin or West Virginia or Wyoming
$18-$27/hr RemoteFull Time
Banner Health
Banner Health: Non-profit integrated healthcare system providing medical and insurance services.
1+ YOEHigh school diploma/GED and ~1+ year patient financial services, billing, or claims experience; knowledge of EOBs, denials, appeals, claim codes; strong communication and office software skills; ability to manage multiple tasks.
2mo
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Nurse Specialist II, Clinical Denials
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
Knowtion Health
Knowtion Health: Revenue cycle management and medical claims recovery services.
2+ YOELicensed RN with ≥2 years acute care experience; utilization review/case management preferred; experience with InterQual/Milliman and CMS LCD/NCD preferred; strong computer and typing skills.
InterQual, Milliman, CMS LCD, CMS NCD
4d
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Registered Nurse (RN) Clinical Denials and Appeals
Fairfax or Maryland or District of Columbia or Delaware or Florida or Georgia or North Carolina or Ohio or Pennsylvania or South Carolina or Tennessee or Texas or West Virginia
RemoteFull Time
Inova
Inova: Operates a network of hospitals and outpatient healthcare facilities.
3+ YOERN license and three years of licensed RN experience in a clinical or hospital setting; strong communication, clinical assessment, documentation, and collaborative skills required.
1mo
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Revenue Cycle Specialist II - AR & Denials Follow-Up
Texas or Pennsylvania or Maryland or District of Columbia
RemoteFull Time
ENT Specialty Partners
ENT Specialty Partners: Provides specialized ear, nose, throat, and allergy medical care.
5+ YOE5+ years medical billing and collections experience, high school diploma or equivalent, proficiency with eClinicalWorks/EMR systems, billing/coding knowledge, strong data entry and customer service skills.
eClinicalWorks, EMR, EPM, Microsoft Office, EHR
3mo
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Billing Associate - AHN Cancer Institute / Radiation Oncology - Forbes
Monroeville, Pennsylvania, United States
HybridFull Time
Highmark Health
Highmark Health: Provides health insurance and integrated medical care services.
1+ YOEHigh school diploma; 1-3 years healthcare billing; CPT/ICD-9 knowledge; handle denials; HIPAA compliance.
1mo
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PHYSICIAN ADVISOR (FT; 40hrs/wk) - Temple University Hospital
Philadelphia, Pennsylvania, United States
OnsiteFull Time
Temple Health
Temple Health: Operates a network of hospitals and academic medical centers.
Doctorate in Medicine or Osteopathic Medicine, active PA medical or osteopathic license, experience with Interqual and appeals/denials, managed care experience; administrative leadership preferred.
5d
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Senior Practice Administrator Behavioral Health
Emmaus, Pennsylvania, United States
OnsitePart Time
Pathways for Change
Pathways for Change: Private mental health practice specializing in children and family therapy.
Significant hands-on healthcare billing experience, preferably behavioral health, with expertise in revenue-cycle management, claims, denials, accounts receivable, credentialing, reconciliation, and EHR workflows.
EHR
1mo
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Medical Billing Manager
Springfield, Pennsylvania, United States
$58k-$935k/yr OnsiteFull Time
Keystone Quality Transport
Keystone Quality Transport: A regional medical transportation provider delivering patient transport and revenue cycle services.
3+ YOE3-5 years medical billing management experience with Medicare/Medicaid/commercial insurance, revenue cycle, claims/denials management, leadership, and experience with electronic billing systems.
2w
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IBHS Compliance and Billing Officer
Wilkes-Barre, Pennsylvania, United States
OnsiteFull Time
Reaching Beyond Limits
Reaching Beyond Limits: Provides behavioral health services for individuals with developmental disabilities.
3+ YOEExperience with Pennsylvania Medical Assistance/HealthChoices billing, clinical documentation auditing, service authorization monitoring, denial resolution, and developing compliance/billing systems; 3+ years preferred.
CentralReach
1w
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AR Customer Service Specialist
Pittsburgh, Pennsylvania, United States
OnsiteFull Time
CHC Solutions
CHC Solutions: Distributes medical equipment and supplies directly to patients.
2+ YOEHigh school diploma or equivalent and 2+ years in medical billing, patient accounts, or healthcare customer service; knowledge of claims, EOBs, denials, billing, and insurance coverage required.
6d
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Accounts Receivable Specialist
Salt Lake City or Yeadon or San Antonio or Roanoke or Evans or Phoenix or Tacoma or Boise or Portland or Florida
$24-$27/hr HybridFull Time
United Wound Healing
United Wound Healing: Mobile wound care specialists treating chronic and complex wounds.
3+ YOERequires 3+ years of medical billing and accounts receivable experience, advanced revenue cycle and claims expertise, insurance denial resolution, EOB knowledge, and proficiency with Microsoft Office.
Microsoft Outlook, Microsoft Excel, Microsoft Word, Electronic Remittance Advice (ERA), ICD-10, CPT, HCPCS, CMS-1500
3mo
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Billing Specialist Clearfield EMS
Clearfield, Pennsylvania, United States
OnsiteFull Time
Penn Highlands Healthcare
Penn Highlands Healthcare: Provides integrated hospital and community healthcare services in Pennsylvania.
1+ YOEMinimum 1 year ambulance/medical billing experience or NAAC Certified Ambulance Coder; strong Medicare/MA billing knowledge; denial management; A/R management; HIPAA compliance.
ICD-10, Medicare/MA guidelines, PCS forms, denial management tools
3w
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Billing Specialist (62826)
Lancaster, Pennsylvania, United States
OnsiteFull Time
Union Community Care
Union Community Care: Provides comprehensive healthcare and social support to underserved communities.
Perform medical A/R tasks including insurance verification, claim submission, posting payments, collections, denial investigation, appeals, and use of EMR and Microsoft Office; Spanish proficiency preferred.
EMR, Microsoft Office
1mo
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Utilization Management Coordinator - Philadelphia
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Malvern Treatment Centers
Malvern Treatment Centers: Provides evidence-based inpatient and outpatient addiction treatment services.
Conduct concurrent utilization reviews for psychiatric and residential drug/alcohol clients using ASAM criteria; coordinate appeals, maintain authorization and denial logs, and communicate with payers and treatment teams.
Microsoft Office
1mo
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Senior Collection Associate - Pharmacy
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia: Comprehensive pediatric medical care and pediatric clinical research.
2+ YOEResolve low-complexity patient accounts, research and appeal denials, liaise with payers and families, use payer portals and EHRs, and meet productivity/quality metrics; strong Excel and communication skills.
Microsoft Excel, Microsoft Word, Epic
2w
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Regional Revenue Cycle Management Supervisor (Remote)
Nashville or Boulder or Phoenix or Austin or Springfield or Harrisburg or Tallahassee or Raleigh or Columbus or Boise or Charleston or Annapolis or Madison
RemoteFull Time
Blue Cloud Pediatric Surgery Centers
Blue Cloud Pediatric Surgery Centers: Operates specialized ambulatory surgery centers for pediatric dental care.
3+ YOE1+ Mgmt3+ years revenue cycle experience, 1+ year supervisory experience; knowledge of billing, charge entry, A/R, denials, payer rules; strong analytical and communication skills; HIPAA compliance.
Microsoft Office