- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Pittsburgh, PA)
- …and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise ... **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** PRN...highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues… more
- Penn Medicine (Lancaster, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance… more
- Penn Medicine (Lancaster, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... hospital services. The role also handles non-clinical referrals. Responsibilities: + Coordinate pre- authorization process + Confirm the authorization is on file… more
- Penn State Health (Hershey, PA)
- …prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Radiation Oncology **Location** US:PA: Hershey ... **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** Full...required. + Two (2) years of experience in either Prior Authorizations or a Clinical setting required. **PREFERRED QUALIFICATION(S)**… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding...AND EXPERIENCE: One to two years of experience in medical billing, a medical office or insurances… more
- Globus Medical, Inc. (Collegeville, PA)
- …support to customers from the initial processing of received documentation through prior authorization , appeals support, detailed claims review, and hotline ... coverage expertise and support regarding all phases of the prior authorization process, appeals, and all related...customer service and/or reimbursement support relating to appeals and prior authorizations from a payer, provider, or medical… more
- UPMC (Pittsburgh, PA)
- …departments and identify medical documentation in support of prior authorization requests. + Complete standard/expedited pharmacy coverage determinations ... UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This... authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians… more
- AmeriHealth Caritas (Philadelphia, PA)
- …and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical Necessity Guidelines as ... + Applies submitted information to Plan Community Health Choices (CHC) authorization process (utilizing medical guidelines, Process Standards, Policies and… more