- St. Luke's University Health Network (Allentown, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Coordinator is a liaison between the providers and the patients. They are… more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Maintain accurate and current referral ... to patient what their insurance company requires to meet referral / authorization compliance. + Must have the ability...to patients who have not been seen within the prior 18 months at their LGHP PCP office and… more
- UPMC (Lancaster, PA)
- …3 specialties and multiple geographical locations. **Responsibilities:** + Utilizes electronic referral and authorization services as available. + Communicates ... Health Information systems. + Knowledge of insurance companies, guidelines and requirements, authorization and referral process and websites. + Knowledge of… more
- St. Luke's University Health Network (Lehighton, PA)
- …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Serve as liaison for patient with doctor ... explain to patient what their insurance company requires to meet referral / authorization compliance. **SECONDARY FUNCTIONS:** **The following duties are… more
- Lancaster General Health (Lancaster, PA)
- …working in a surgical office or as a surgical scheduler. + Prior pre- authorization experience. + Bi-lingual (Spanish). + Insurance pre-certification experience. ... that all patient consents are available in the chart prior to the day of the procedure. + Reviews...MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means. PENN MEDICINE LANCASTER GENERAL… more
- Lancaster General Health (Lancaster, PA)
- …into the computer system + Determine whether an appointment will require an insurance referral or authorization (and enter into system upon receipt) to ensure ... electronic medical record experience + One (1) year of prior revenue cycle in a medical office or hospital...MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means. PENN MEDICINE LANCASTER GENERAL… more
- Naval Sea Systems Command (PA)
- …Systems Lead Engineer in the Hull, Mechanical & Electrical Control, Navigation, Network & Cyber Engineering Department of Naval Surface Warfare Center, Philadelphia ... assessments, improvements to enhance controls, and provides technical support for authorization and accreditation. You will plan and execute projects in the… more
- Cardinal Health (Harrisburg, PA)
- … intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up ... experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid… more
- LifePoint Health (Johnstown, PA)
- …chart. Monitors for and obtains referrals for patients. Instructs patients of requirement of referral prior to being seen on their appointment date. Send tasks ... each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics and patient focused programs. Conemaugh Health System… more
- Organon & Co. (Plymouth Meeting, PA)
- …and notifications (eg, REACH compliance), including support for market authorization submissions for relevant occupational and environmental risk assessment and ... related health risk assessments. + Collaborating with industrial hygiene network , operations, and R&D teams as part of a...by our company as a result of an agency referral where no pre-existing agreement is in place. Where… more
- Kepro (Harrisburg, PA)
- …post-acute or rehabilitation environment required + Minimum of one year UR and/or Prior Authorization or related experience + Must be proficient in computer ... medical record documentation supports the need for services + Initiates a referral to the physician consultant and processes physician consultant decisions ensuring… more