- Penn Medicine (Sellersville, PA)
- …Ave Ste 3A** **Hours: Full-Time** **SUMMARY:** The Insurance Pre-Cert Coordinator obtains pre-certifications and referrals for inpatient, outpatient, prescriptions ... and same day encounters. The coordinator is responsible for verifying benefits and pre-certifying selected...departments included but not limited to admissions, business office, case managers and medical staff, nursing and designees. *… more
- Penn Medicine (Philadelphia, PA)
- …Market Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and...received and have been translated into English so that case review by clinical staff can proceed. Assist with… more
- UPMC (Pittsburgh, PA)
- …practices, and their impact on human culture. + LTSS, Service Coordination or Case Management experience preferred. + Ability to work independently in virtual ... activities to Assigned Enrollees in need of complex care management and LTSS CP supports, including but not limited...who serve the Participant (ie state agency or service coordinator assigned to case + Collect program… more
- Highmark Health (Pittsburgh, PA)
- …appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. (20%) + ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Highmark Health (Pittsburgh, PA)
- …documentation and follow up to physician offices, case management department, and payors regarding authorization /referral deficiencies. + Identifies ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Healthfirst (PA)
- …area of the healthcare industry working in a Call Center environment or Care/ Case Management Department + Experience navigating multiple technologies including a ... + Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and/or corrections… more
- St. Luke's University Health Network (Easton, PA)
- … management of psychiatric cases in the absence of the utilization management coordinator . PHYSICAL AND SENSORY REQUIREMENTS: Able to communicate effectively ... with mental health illness. Previous experience in discharge planning and case management models preferred.Current Behavioral Health department program for… more
- Penn Medicine (Philadelphia, PA)
- …week in advance whenever possible. + Provide accurate information to billing and case management to assure payment of claims. + Willingly accepts responsibility ... will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Admission coordinator or designee + Is responsible for collaborating with case management and Discharge Support Center in securing timely authorization ... + In collaboration with Admission's Manager and Community Liaisons provides education to referral sources at least annually regarding admission criteria and program overview + Is timely and accurate maintaining and completing the referral log + Offer… more