- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The Prior Authorization Specialist is a vital member of the healthcare team. They are responsible for managing the ... setting involving customer service or patient-facing responsibilities is required. Keyword: Prior Authorization Specialist From: Spectrum Health Services,… more
- TEKsystems (Marlton, NJ)
- Description: A Prior Authorization Specialist plays a critical role in managing patient care and insurance coverage. They verify insurance coverage, process ... prior authorization requests, and evaluate individual requests for coverage authorizations. Specialists also interact with providers and health plans regarding… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- St. Luke's University Health Network (Allentown, 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 ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination of patient care.… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more
- RWJBarnabas Health (Hamilton, NJ)
- …of this position is to ensure that authorization requirements are met prior to service. The Patient Access Specialist provides direct and indirect support ... patients, colleagues and other external and internal customers + Strong understanding of prior authorization requirements for various services + Experience in … more
- Penn Medicine (Radnor, PA)
- …future each day. Are you living your life's work? **Title:** Preregistration Specialist **Organization:** PMR General **Location:** Penn Medicine Radnor - 145 King ... Mon-Fri office hours per department needs **Summary:** + The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly communicates… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- St. Luke's University Health Network (Allentown, PA)
- …and pharmacies as necessary to address refill requests. + Initiates and completes prior authorization requests as necessary using standardized workflows and ... regardless of a patient's ability to pay for health care. The Rx Specialist will address patient medication refill requests and all associated authorizations using… more
- Veterans Benefits Administration (Philadelphia, PA)
- Summary The incumbent serves as an Insurance Specialist in the Policyholder Services Division, Account Services of the Philadelphia Reginal Office & Insurance ... Management, and the Insurance Service receive notification. Requests and receives credit and authorization for those funds to be released to the Veteran and acts as… more
- Grundfos (Philadelphia, PA)
- Sales Development Specialist Application deadline: As soon as possible Workplace: Remote Position Job Location (Short): Oakville, Ontario, Canada | Apodaca, Nuevo ... job about?** Grundfos is looking for a Sales Development Specialist to join our team. The ideal candidate will...and at least 5+ years of relevant experience. + Prior experience as a sales/business development representative with direct… more
- Penn Medicine (Philadelphia, PA)
- …- F, 7:30 am - 4:00 pm, Hybrid **Summary** : The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly communicates with ... if necessary and if appropriate collects patient responsibility for patients prior to care. Accurately identifies primary and secondary payers. This individual… more
- Air National Guard Units (Horsham, PA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a SUPV IT SPECIALIST (PLCYPLN), Position Description Number D2173P01 and is part of the Pennsylvania ... and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible… more
- Medtronic (Philadelphia, PA)
- …expertise to engineer groundbreaking therapies and technologies. The **Sr. Market Development Specialist ** will play a pivotal role in the US Commercial Marketing ... 2 years of relevant experience **Nice to Have** + MBA + Prior healthcare marketing/sales experience, ideally in Neuromodulation + Demonstrated project management… more
- Medtronic (Philadelphia, PA)
- …to join the company and charter the next frontier. As an Implementation Specialist , you will take on a pivotal role in advancing our implementation projects ... room. + Test and install our hardware solutions in live operating rooms prior to deployment, including network configuration. + Partner with the sales team and… more
- Philips (Malvern, PA)
- …patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility ... the facts and circumstances of each case. **Additional Information** US work authorization is a precondition of employment. The company will not consider candidates… more
- ARAMARK (Philadelphia, PA)
- …+ This program will start in July. All degree requirements must be completed prior to the start date of the program (including any final internship requirements). + ... Must be authorized to work in the United States and not require work authorization sponsorship by Aramark for this position now or in the future + **PREFERRED… more
- ARAMARK (Philadelphia, PA)
- …+ This program will start in July. All degree requirements must be completed prior to the start date of the program (including any final internship requirements). + ... Must be authorized to work in the United States and not require work authorization sponsorship by Aramark for this position now or in the future + **PREFERRED… more
- Verint Systems, Inc. (Trenton, NJ)
- …and ensure ongoing maintenance of lawful immigration status and employment authorization for existing employees and new hires. Ensure paperwork is processed ... and provide recommended policies and procedures to ensure the company is compliant prior to the effective date. Communicate policy to HRIS and Payroll for… more
- The Cigna Group (Philadelphia, PA)
- …+ Machine Learning/AI + Systems/Data/Business Analyst + Information Protection Specialist + Architecture Specialist + Scrum Master/Project Manager/Product ... work week beginnin** **g** **May 19** **, 2025.** **Work Authorization :** **One goal of this internship program is to...employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states… more