Top 295 Medical coding Jobs in Philadelphia, Pa

Insurance and Denials Specialist
Careers at Gentell —Morrisville, PA
- $23 - $25 an hour
- Full-time
- Customer service
- Research
- Mid-level
Quick Apply
Certified Outpatient Coder (COC) - AI Trainer
DataAnnotation —Pennsylvania
- From $20 an hour
- Overtime
- Remote
- Medicine
- Writing skills
- English
Quick Apply
Inpatient Coder / Outpatient Coder - AI Trainer
DataAnnotation —Pennsylvania
- From $20 an hour
- Overtime
- Remote
- Medicine
- Writing skills
- English
Quick Apply
Medical Billing Specialist
Alfieri Cardiology —Wilmington, DE
- $18 - $22 an hour
- Full-time
- Primary Care
- Mid-level
- Organizational skills
Quick Apply
Dental Financial Coordinator
City Dental —Philadelphia, PA
- $24 an hour
- 8 hour shift
- Background check
- Dental office
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Facility, Inpatient and Outpatient Coding Tech
Children’s Hospital of Philadelphia —Philadelphia, PA
- $37.99 - $42.73 an hour
- 8 hour shift
- Remote
- Research
- Mid-level
- Children
Quick Apply
Certified Medical Coder
Children’s Hospital of Philadelphia —Philadelphia, PA
- $27.35 - $34.19 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
Coder I
The Center for Orthopedic and Research E —West Chester, PA
- Full-time
- Remote
- Urgent Care
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Coding Educator, Avenue North - Hybrid
Christiana Care Health Systems —Wilmington, DE
- $35.39 - $56.63 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Associate's degree
- Paid parental leave
- Health insurance
9d
Biller
Cardiology Consultants of Philadelphia —Norristown, PA
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
- Profit sharing
- Paid holidays
Quick Apply
Medical Coder and Biller
Advocare —Marlton, NJ
- $25 - $27 an hour
- Full-time
- 5 years
- HIPAA
- Research
- Dental insurance
- Paid time off
Quick Apply
Collections Associate - Physician Billing
Children’s Hospital of Philadelphia —Philadelphia, PA
- $25.50 - $31.85 an hour
- Full-time
- Computer literacy
- Writing skills
- Basic math
- Work from home
Quick Apply
Coder - Physician Practice - CPC Required
Virtua Health —Mount Laurel, NJ
- $26.00 - $39.11 an hour
- Full-time
- Anatomy knowledge
- Surgery
- Data analysis skills
- AD&D insurance
- Disability insurance
HIM Coding Specialist
Penn Medicine —Philadelphia, PA
- Full-time
- Mid-level
- High school diploma or GED
- Radiology
- Tuition reimbursement
Quick Apply
Practice Coding Specialist II Radiation Oncology
Penn Medicine —Philadelphia, PA
- Remote
- Surgery
- Mid-level
- 3 years
- Tuition reimbursement
- Flexible schedule
Quick Apply
Certified Medical Coder
UNITED WOUND HEALING PS —Yeadon, PA
- $25 - $33 an hour
- Overtime
- Microsoft Outlook
- Customer service
- Pass drug screening
- AD&D insurance
- Paid holidays
Quick Apply
Coding Quality Analyst
Optum —Newtown Square, PA
- $23.89 - $42.69 an hour
- Full-time
- Remote
- RN License
- Computer literacy
- Pass drug screening
Billing Representative
Reliable Respiratory —Philadelphia, PA
- $30 - $35 an hour
- Full-time
- 18 years or older
- Computer literacy
- Research
Quick Apply
HIM Inpatient Coding Specialist I
Penn Medicine —Philadelphia, PA
- 8 hour shift
- High school diploma or GED
- Bachelor's degree
- Organizational skills
- Tuition reimbursement
Quick Apply
Charge Capture Specialist
Penn Medicine —Philadelphia, PA
- Hybrid work
- Mid-level
- High school diploma or GED
- In-person
- Tuition reimbursement
Quick Apply

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Insurance and Denials Specialist

Careers at Gentell -
Morrisville, PA

Quick Apply

Job Details

Full-time
$23 - $25 an hour

Qualifications

Medicare
Insurance verification
Customer service
High school diploma or GED
ICD-10
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Medical billing
Patient interaction
Cross-functional collaboration
Medical debt collection accounts

Full Job Description

Insurance and Denials Specialist

POSITION SUMMARY

Under the direction and support of the Insurance and Denials Manager, the Insurance and

Denials Specialist will initiate billing claims, actively process all denials, and ensure follow up on collection efforts to ensure timely reimbursement for services provided.

The Insurance and Denials Specialist require critical thinking skills, ability to identify

trends, and achieve departmental revenue goals. We are looking for someone who can

confidently gather the required information to submit and resolve health insurance claims

to multiple payers.

SUPERVISION RECEIVED

Insurance and Denials Manager

DIRECT REPORTS

Director of Compliance

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty

satisfactorily.

Registration of patients, insurance verification, HCPCS coding and ICD-10 coding
Verify all insurance orders for accuracy and completeness
Review clinical documentation to ensure compliance with payors guidelines
Apply correct modifiers and HCPCS to claims
Communicate with Gentell clinicians and customer facilities as needed to expedite claims processing
Transmit/submit claims (paper or electronic) to insurance payors for reimbursement
Contact insurance companies on outstanding claims
Maintain supporting chronological notes that detail actions taken to resolve outstanding account balances
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information
Review received insurance payments for underpayment
Call insurance companies regarding any discrepancy in payments as needed
Process all appeal requests within the time frame required
Process approved adjustments
Maintain patient demographic information and data collection systems, including all billing/collection reports, queues, or diversions while remaining in accordance with payor and company policy guidelines
Research and resolve discrepancies, denials, and appeals. Use initiative and critical thinking to identify problems, recommend solutions to management, and set priorities.
Perform miscellaneous job-related duties as assigned

DESIRED MINIMUM QUALIFICATIONS

The requirements listed below are representative of the knowledge, skill and/or ability required for this position.

High school diploma or GED required; Associate degree preferred
2 years minimum experience in healthcare insurance billing, collections, and/or denials and appeals
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
Thorough knowledge of all private insurance rules and regulations as it relates to claims submission and/or denials and appeals
Knowledge of LCDs, Medicare Guidelines for DME, supplier standards for DME
Must be able to work effectively with patients/customers, company staff, and outside parties, such as insurance company representatives
Strong customer service orientation
Ability to work in strong collaboration with all internal and external team members, inside and outside of the Revenue Cycle department
Strong attention to detail and accuracy
Task oriented while performing in a fast-paced environment
Certification in Medical Billing/Coding a plus
1 year of Durable Medical Equipment billing experience preferred
Experience with wound care orders billing a plus
Knowledge of Brightree a plus

Pay: $23.00 - $25.00 per hour

Work Location: In person

Quick Apply

Refine Your Search

medical coding jobs in philadelphia, pa

Insurance and Denials Specialist

Certified Outpatient Coder (COC) - AI Trainer

Inpatient Coder / Outpatient Coder - AI Trainer

Medical Billing Specialist

Dental Financial Coordinator

Facility, Inpatient and Outpatient Coding Tech

Certified Medical Coder

Coder I

Coding Educator, Avenue North - Hybrid

Biller

Medical Coder and Biller

Collections Associate - Physician Billing

Coder - Physician Practice - CPC Required

HIM Coding Specialist

Practice Coding Specialist II Radiation Oncology

Certified Medical Coder

Coding Quality Analyst

Billing Representative

HIM Inpatient Coding Specialist I

Charge Capture Specialist

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