- St. Luke's University Health Network (Bethlehem, PA)
- …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
- St. Luke's University Health Network (Allentown, PA)
- …care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of ... variances, aspects of patient care management. + Facilitates insurance authorization , pre-certification, and concurrent reviews for assigned patients. + Maintains… more
- Sargent & Lundy (Reading, PA)
- …by way of Sargent & Lundy's systems of process and associated "Communities of Practice ." + Provide guidance as a mentor in the development of less experienced ... package. Qualifications We do not sponsor employees for work authorization in the US for this position. Essential skills...protection, including SEL, ABB, GE, Areva, and Basler. + Prior experience is desirable to include in-line, bus and… more
- Sharecare, Inc. (Trenton, NJ)
- …finding alternative care options or assist member in working with payer to complete prior authorization or appeals process, when necessary. + Abide by Clinical ... decreased admissions, and medication management. + Follow program communication and referral mechanisms to assure there is seamless communication between PCPs,… more