- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works...Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... of prior -authorizations and referral process for patients being referred for specialty care,...scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to ensure the procedure is a covered service under the patients plan prior to receiving services. + Verifies pre- authorization requirements and follows up ... all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits. Obtains all applicable...prior to the date of service. + Verifies pre- authorization requirements and follows up with both the referring… more
- Cardinal Health (Trenton, NJ)
- …and/or Medical Claims billing and Coding work experience * 1-2 years' experience with Prior Authorization and Appeal submissions * Ability to work with high ... of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following… more
- Merck (North Wales, PA)
- …allow swift, organized compliance across regulatory agencies. We are an international network on the leading-edge of healthcare breakthroughs that help provide new, ... local registration study protocols when needed to obtain marketing authorization in secondary markets. + Represents our company with...of twelve (12) months of service in current position prior to applying for open positions. If you have… more
- Merck (North Wales, PA)
- …allow swift, organized compliance across regulatory agencies. We are an international network on the leading-edge of healthcare breakthroughs that help provide new, ... local registration study protocols when needed to obtain marketing authorization in secondary markets + Represents our company with...of twelve (12) months of service in current position prior to applying for open positions. If you have… more