- 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
- UPMC (Pittsburgh, PA)
- …Are you looking to grow your career? UPMC is hiring a full-time Sr. Authorization Specialist to support its Pre-Arrival department. This role would work Monday ... eligible to work from home after training. The Senior Authorization Specialist is to perform authorization...UPMC applications and payor/contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Harrisburg, PA)
- **UPMC seeks an Authorization Specialist to join the Pain Management department.** **Monday-Friday 7:30am-4pm. No weekends or holidays!** **Purpose:** To perform ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Wexford, PA)
- UPMC Department of Dermatology is hiring a full-time Authorization Specialist to join their team in Wexford, PA! In this position, you will work Monday-Friday ... coordinating with providers for prescriptions authorizations infusions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- **UPMC Department of Plastic Surgery is hiring a Part-Time Authorization Specialist . This is a Monday-Friday, daylight position. No nights, weekends, or ... holidays!** **Responsibilities:** + Prior authorization responsibilities: 1. Reviews and interprets medical record documentation for patient history, diagnosis,… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Charge Processing Specialist to support their team located at 1713 Ardmore Blvd Pittsburgh, PA 15221. This ... of work from home. The ideal candidate will have prior billing experience! **Purpose:** Daily office operations within the...by accessing the referral system and attaching the pre-loaded authorization to the charge being processed. Direct entry of… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Title:** Preregistration Specialist **Organization:** Lung Center Perelman **Location:** Perelman Center for Advanced ... Mon-Fri office hours per department needs **Summary:** + The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly communicates… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **Job Title: Clinical Service Specialist ** **Location: Parkesburg, PA** **1.0 FTE, Day shift, Monday - Friday, Starting at 7:30am - ... patient, guarantor, coverage and hospital account information. Performs required referral/ authorization processes and enters orders for applicable tests. +… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **Job Title: Customer Service Specialist ** **1.0 FTE, 40 hours per week, Day shift hours. Start time ranges from 7 A - 8:45 A** ... patient, guarantor, coverage and hospital account information. Performs required referral/ authorization processes and enters orders for applicable tests. +… 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
- 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
- Army National Guard Units (Gap, PA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a HEALTH SYSTEMS SPECIALIST , Position Description Number D1119000 and is part of the PA Command Admin ... be hired against this Announcement. Responsibilities As a HEALTH SYSTEMS SPECIALIST , GS-0671-09 you will be responsible for oversight, administration, and… more
- Army National Guard Units (Gap, PA)
- …SERVICE POSITION. This National Guard position is for a COMMAND PROGRAM SUPPORT SPECIALIST , Position Description Number D2420000 and is part of the PA Command Admin ... hired against this Announcement. Responsibilities As a COMMAND SUPPORT PROGRAM SPECIALIST , GS-0301-11 you will provide executive level support in planning,… more
- Veterans Benefits Administration (Philadelphia, PA)
- …Insurance Center in Philadelphia, PA. The incumbent serves as the Lead Insurance Specialist in the Outreach Section. The mission of the Outreach Section is to ... of acceptable specialized experience include responsibility for examination, investigation, or authorization of claims under programs such as life or health… more
- Air National Guard Units (Middletown, PA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a HUMAN RESOURCES SPECIALIST (MILITARY), Position Description Number D1622000 and is part of the PA ... made between the two. Responsibilities As a HUMAN RESOURCES SPECIALIST (MILITARY), GS-0201-09, you will serve as an advisor...register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ... to perform the following duties: + **The Contact Center Specialist I is fully trained in one of the...whether an appointment will require an insurance referral or authorization (and enter into system upon receipt) to ensure… more
- Shell (Monaca, PA)
- …One of these newly created opportunities is a Polyethylene Inst Analyzer Specialist (also known as Instruments Analyzer Specialist , Polyethylene Quality ... **What we need from you** + Must have legal authorization to work in the US on a full-time...the right to do so at any time, including prior to the advertised closing date. Before applying, you… more
- Guthrie (Sayre, PA)
- …non- oncology treatments and that they have been entered by pharmacy and authorization prior to scheduling. + Manages the specialty pharmacy medications ensuring ... accurately and on time. Experience A minimum of two years of prior medical assisting experience preferred. Education High school diploma or equivalent required.… more
- WellSpan Health (Chambersburg, PA)
- …17. Receives requests for outpatient and inpatient information. Obtains proper authorization and identification prior to release of information. Understands ... Medical Records Specialist - Health Information Management - Evening Location: Chambersburg Hospital, Chambersburg, PA Schedule: Full Time Position Function: Under… more