- Penn Medicine (Philadelphia, PA)
- …Education or Equivalent Experience: + HS Diploma/GED (Required) + And 2+ years Medical office experience, or 2 years of customer service experience. Related ... books for re-imbursements in a timely fashion. * Complete prior authorizations for medications. * Complete medical ...clinical office experience required. Prior customer service or… more
- Prime Therapeutics (Harrisburg, PA)
- …Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. ... criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists. + Escalates… more
- Penn State Health (Harrisburg, PA)
- …help you grow personally and professionally **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Harrisburg **Work Type:** Full Time **FTE:** 1.00 ... Cox at ###@pennstatehealth.psu.edu **SUMMARY OF POSITION:** Penn State Health Medical Group Nyes Rd - Suite A is seeking...(LPN) to join its team! Largely a Primary Care-based office , the Nyes Rd - Suite A office… more
- St. Luke's University Health Network (Hamburg, PA)
- …claim edit level work queue errors related to registration. Can require contacting provider office , reviewing patient medical chart for diagnosis and medical ... hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and report any instances of possible identify theft… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to ... apply. Responsibilities The Medical /Psychiatric Physician Assistant manages comprehensive medical /psychiatric care...determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP… more
- UPMC (Pittsburgh, PA)
- … necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of ... insurance payor or contracted provider web sites to perform prior authorization, edit, and denial services. + Utilize authorization...or equivalent with 2 years working experience in a medical environment (such as a hospital, doctor's office… more
- UPMC (Wexford, PA)
- …+ Prior authorization responsibilities: + 1. Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans to ... necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of… more
- UPMC (Pittsburgh, PA)
- …expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical ... necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in terms of… more
- City of Pittsburgh (Pittsburgh, PA)
- …eligibility list for this position. Candidates who receive job offers must pass a medical examination (when applicable) prior to start date. + Written: Based on ... supplemental questions. + Applicants must become residents of the City of Pittsburgh prior to employment and must remain a resident throughout employment. + Click… more
- City of Pittsburgh (Pittsburgh, PA)
- …eligibility list for this position. Candidates who receive job offers must pass a medical examination (when applicable) prior to start date. + Written: None ... supplemental questions. + Applicants must become residents of the City of Pittsburgh prior to employment and remain a resident throughout employment. + Click here… more
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