- 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 pre-approval ... assess the Patient/Client Services the necessity and accuracy of prior authorization requests. + Contact insurance providers...+ A graduate of a Medical Assistant, Health Unit Coordinator , or Health Care Business Service program … more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Care Coordinator , Penn Signature Services** Job Summary: + Under minimal supervision, the Care ... Coordinator in Penn Signature Services (PSS) is responsible for...and then organizing for the potential care process. PSS program patients are either high profile in nature, destination… more
- Humana (Harrisburg, PA)
- …Wisconsin is managed. + Process and document all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Humana policies and ... health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market team. The...status of PAs. + Enter PA requests into the prior authorization database (TruCare), prepare documentation, and… more
- Trinity Health (Darby, PA)
- …**Description:** Trinity Health Mid-Atlantic is looking for Clinical Pre-Service Nurse Coordinator to join our Pre-Service team! **Employment Type:** Full Time ... University Drive Newtown, PA 18940. **Summary:** The Clinical Pre-Service Nurse Coordinator is directly responsible for reviewing pre/post service initial denials,… more
- Gentiva (Pittsburgh, PA)
- …the Executive Director. Responsible for the timely admission of all patients to the program and serve as the lead coordinator of all patient admissions activity. ... **Heartland Hospice** a Gentiva Company is looking for an **Admission Coordinator ** to join our team. (LPN preferred) **Pittsburgh, PA** **Full-Time, Full… more
- The Cigna Group (Philadelphia, PA)
- The RN Coordinator serves as the key contact point for...for employment unless they enter a qualifying smoking cessation program prior to the start of their ... hrs. of order placement **Diagnostics and Lab Result Management** 1. Obtain Pre Authorization for all CT, MRI, Echo's ordered by providers (Pt Coordinators to… more
- Lancaster General Health (Lancaster, PA)
- …other community resources as requested, including completion of referral and authorization processes as appropriate. + Maintains professional relationships with a ... of the discharge process. + Participates in reimbursement, certification and authorization related activities as directed. + Documents payer and authorization… more
- BrightSpring Health Services (York, PA)
- …+ Short- and long-term disability + Life insurance + Paid time off + 401(k) program + Flexible Spending Account (FSA) + Employee Assistance Program (EAP) + ... to customer requests and concerns, and coordinating the insurance verification and authorization processes + May be called upon to resolve complex customer service… more
- Cardinal Health (Harrisburg, PA)
- …and/or Medical Claims billing and Coding work experience + 1-2 years' experience with Prior Authorization and Appeal submissions + Ability to work with high ... correspondence when necessary to help support the needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns… more
- Penn Medicine (Philadelphia, PA)
- …for pre-certification. Authorization number to be communicated to discharge concierge program staff to allow for prescription to be processed and filled. + ... will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.… more
- Penn State Health (Hershey, PA)
- …either be a citizen of the United States or be able to maintain work authorization throughout the fellowship program . + Penn State Hershey Medical Center does ... support organization initiatives in conjunction with a designated project coordinator . Assist senior level administrators in identifying, planning, and implementing… more
- St. Luke's University Health Network (Allentown, PA)
- …& family, and any other significant others according to therapeutic needs and program practices. + Assesses discharge planning needs to ensure a safe, timely and ... 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