- St. Luke's University Health Network (Allentown, 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
- 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
- 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
- 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)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... hours between 8a -5p. No weekends, no holidays. Our practice is a large, multispecialty practice currently...+ Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and… more
- Lancaster General Health (Lancaster, PA)
- …providers and other community resources as requested, including completion of referral and authorization processes as appropriate. + Maintains professional ... of the discharge process. + Participates in reimbursement, certification and authorization related activities as directed. + Documents payer and authorization… more
- UPMC (Carlisle, PA)
- …and maximize plan benefits. + Obtains payor specific pre-determination and/or prior authorization procedures and documentation requirements. If applicable ... functions. + Possesses knowledge of insurance policy, guidelines, and referral / authorization processes. + Maintains up to date...facilitates the prior authorization process for patients and healthcare… 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...yearly competency evaluation and training). + 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)
- …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)
- …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...search firms for this employment opportunity. Regardless of past practice , all resumes submitted by search firms to any… more
- Lancaster General Health (Lancaster, PA)
- …available risk management models and decision trees to determine risk and prior probabilities for patients seeking genetic testing. + Collaborates with medical team ... recommendations. + Provides genetic counseling service within the standards of practice of the National Society of Genetic Counselors and appropriate state… 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...search firms for this employment opportunity. Regardless of past practice , all resumes submitted by search firms to any… 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. (Harrisburg, PA)
- …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
- Highmark Health (Pittsburgh, PA)
- …more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and ... medical benefits and insurance information + Collects copays and prior balances and posts payment transactions. Does not calculate...after Probation Period** Recipient must stay with the same practice for a minimum of 1 year if bonus… more