CDM/Revenue Cycle Specialist

2 weeks ago


Allentown, Pennsylvania, United States St. Luke's University Health Network Full time
Job Summary

We are seeking a highly skilled CDM/Revenue Cycle Analyst to join our team at St. Luke's University Health Network. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and compliance of our Charge Description Master (CDM) and revenue cycle processes.

Key Responsibilities
  • Maintain and update the network CDM under the supervision of senior staff members, ensuring all hospital services are accurately represented.
  • Participate in network audits and reviews to ensure compliance with third-party payer regulations and requirements.
  • Verify the accuracy of payments received for services rendered, adhering to third-party payer contracts and payment protocols.
  • Collaborate with clinical and revenue cycle staff to resolve issues and maintain volume within department work queues.
  • Assist in establishing charges for new procedures, services, and supplies, utilizing established pricing methodologies.
  • Ensure the CDM complies with third-party coding requirements, including UB04 revenue codes and HCPCS/CPT codes.
  • Field customer service requests to ensure patient chart documentation supports applied charges.
  • Update Outpatient Workers Compensation Fee Schedules quarterly.
  • Review third-party correspondence to identify potential additions and revisions to the CDM/Epic system.
Requirements
  • Four-year degree in health administration, business, or a related field is preferred.
  • Two years of CDM maintenance experience is preferred.
What We Offer

St. Luke's University Health Network is an Equal Opportunity Employer, committed to providing a work environment that is inclusive and respectful of all employees. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.


  • Revenue Cycle Analyst

    4 weeks ago


    Allentown, Pennsylvania, United States St. Luke's Hospital Full time

    Job SummarySt. Luke's Hospital is seeking a highly skilled Revenue Cycle Analyst - CDM Specialist to join our team. As a key member of our revenue cycle operations team, you will play a critical role in ensuring the accuracy and compliance of our Charge Description Master (CDM) with third-party payer regulations and requirements.Key ResponsibilitiesCDM...


  • Allentown, Pennsylvania, United States St. Luke's Hospital Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our team at St. Luke's Hospital. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely submission of claims to third-party payers, intermediaries, and guarantors.Key ResponsibilitiesProcess UB04 and HCFA-1500...


  • Allentown, Pennsylvania, United States St. Luke's Hospital Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Payment and Reconciliation Specialist to join our team at St. Luke's Hospital. As a key member of our revenue cycle team, you will be responsible for ensuring the accurate and timely preparation, posting, and reconciliation of patient and insurance payments.Key ResponsibilitiesImport and...


  • Allentown, Pennsylvania, United States Thermo Fisher Scientific Full time

    Product Management SpecialistBe part of a dynamic team at Thermo Fisher Scientific and contribute to the development of innovative solutions for challenging issues such as food safety and cancer treatment.Key Responsibilities:Manage day-to-day product operations and maintain cross-functional relationships with internal departments.Develop long-range product...


  • Allentown, Pennsylvania, United States Ryder System Full time

    About the RoleWe are seeking a highly motivated Business Development Manager to join our dynamic team at Ryder System. As a key member of our sales team, you will be responsible for developing new customer business within your assigned sales territory.Key ResponsibilitiesDevelop pre-sales strategies for target accounts and create a sales activity pipeline to...


  • Allentown, Pennsylvania, United States Ryder System Full time

    Job Title: Business Development ManagerRyder System is seeking a highly motivated and experienced Business Development Manager to join our team. As a Business Development Manager, you will be responsible for developing new customer business within your assigned sales territory.Key Responsibilities:Develop pre-sales strategy for target accounts and develop a...


  • Allentown, Pennsylvania, United States Ryder System Full time

    Job Title: Business Development ManagerJob Summary:The Business Development Manager will be responsible for developing new customer business within their assigned sales territory. This involves educating and developing prospects' value perception of Ryder's services using the Ryder Sales Process. The incumbent will develop sales plans, analyze profitability...


  • Allentown, Pennsylvania, United States St. Luke's Hospital Full time

    Job SummaryWe are seeking a highly skilled and experienced IT Training Specialist to join our team at St. Luke's Hospital. As an IT Training Specialist, you will be responsible for providing successful IT software training and IT support to a diversified audience for our major Healthcare Network's/IT Department's electronic healthcare record system.Key...


  • Allentown, Pennsylvania, United States Yard Truck Specialists Full time

    Job OpportunityWe are seeking a skilled Territory Sales Representative to join our team at Yard Truck Specialists. As a leading dealership for spotter trucks and terminal tractors, we are committed to providing exceptional service and support to our customers.Key ResponsibilitiesLead and manage sales within your territory for parts, service, and...


  • Allentown, Pennsylvania, United States ProSmile Full time

    Job OverviewJob Title: Dental Care SpecialistDepartment: ClinicalReports to: Chief Dental OfficerFLSA Status: ExemptCompany OverviewProSmile is a leading dental organization with a strong presence on the East Coast. Our network of affiliated multi-specialty dental practices spans across New Jersey, Pennsylvania, Virginia, Washington D.C., and Maryland. We...


  • Allentown, Pennsylvania, United States Surgery Center of Allentown LLC Full time

    {"h1": "Medical Biller Job Description", "p": "At the Surgery Center of Allentown, we are seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring the smooth operation of our revenue cycle. Your primary responsibility will be to review and process medical claims, ensuring accuracy and compliance with...


  • Allentown, Pennsylvania, United States Airgas, Inc. Full time

    Customer Process SpecialistAirgas, Inc is seeking a skilled Customer Process Specialist to join their team.Key Responsibilities:Assist customers with all phases of order-fulfillment for industrial, medical and specialty gases.Provide research and resolve conflicts related to order delivery cycles.Answer and respond to incoming telephone inquiries from...


  • Allentown, Pennsylvania, United States Uline Full time

    Job SummaryWe are seeking a highly skilled Warehouse Automation Specialist to join our team at Uline. As a key member of our maintenance team, you will be responsible for ensuring the smooth operation of our conveyor sortation equipment and automated warehouse systems.Key ResponsibilitiesPerform routine maintenance and technical service on automated...


  • Allentown, Pennsylvania, United States SkyBridge Healthcare Therapy Full time

    Travel Physical Therapist Job OpportunitySkyBridge Healthcare Therapy is seeking a skilled Physical Therapist to join our team for a travel job in Allentown, Pennsylvania.Job DetailsShift: 8 hours, daysEmployment Type: TravelAs a travel Physical Therapist with SkyBridge Healthcare Therapy, you will have the opportunity to work with top-notch facilities and...


  • Allentown, Pennsylvania, United States WEIS LLC Full time

    Job SummaryWe are seeking a highly skilled and experienced Pharmaceutical Specialist to join our team at WEIS LLC. As a key member of our pharmacy team, you will be responsible for ensuring the accuracy and appropriateness of all prescriptions filled, while also building profitable business and script growth through recommended clinical programs.Key...


  • Allentown, Pennsylvania, United States St. Luke's Hospital Full time

    Job SummaryThe Patient Access Representative is a vital role at St. Luke's University Health Network, responsible for ensuring seamless patient registration and access to care. This position requires excellent customer service skills, attention to detail, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAccurately identify...

  • Account Manager

    3 weeks ago


    Allentown, Pennsylvania, United States Clear Channel Communications, Inc. Full time

    Job SummaryThe Account Executive plays a crucial role in meeting and exceeding local and national sales goals by selling our outstanding inventory to qualified advertisers. This involves developing new business through direct customer outreach and high-level agency contacts.Key ResponsibilitiesDrive revenue target attainment on a monthly, quarterly, and...


  • Allentown, Pennsylvania, United States SkyBridge Healthcare Therapy Full time

    Job OpportunitySkyBridge Healthcare Therapy is seeking a skilled Physical Therapist for a travel assignment in Pennsylvania.Job DetailsSpecialty: Physical TherapistDiscipline: TherapyDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelSkyBridge Healthcare Therapy Job ID # Pay package is based on 8 hour shifts and 40 hours per week...


  • Allentown, Pennsylvania, United States SERVPRO of Bethlehem Full time

    Job OverviewServpro of Easton, Bethlehem & Whitehall is seeking a highly motivated Sales and Marketing Specialist to join our team. As a Sales and Marketing Specialist, you will play a key role in increasing brand awareness and driving sales growth.Key ResponsibilitiesDevelop and execute sales strategies to achieve sales targets and grow revenueBuild and...


  • Allentown, Pennsylvania, United States Talen Energy Full time

    Nuclear Fuel Buyer Job SummaryThe Nuclear Fuel Buyer plays a critical role in procuring uranium, conversion, enrichment, fabrication, and control blades for Susquehanna Steam Electric Station (SSES). This position requires strategic planning, bid preparation, and evaluation, contract preparation and negotiations, contract finalization and execution. The...