- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access...medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a… more
- Penn Medicine (Lancaster, PA)
- …of compliance /regulatory guidelines and order release process(es). One (1) year prior experience of Revenue Cycle in a Hospital/ Medical Office Setting. ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Lancaster, PA)
- …. + One 1 year prior experience of Revenue Cycle in a Hospital Medical Office Setting. + Previous Epic or equivalent Electronic Medical Record experience. We ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Lancaster, PA)
- …of compliance /regulatory guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/ Medical Office Setting. + ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Lancaster, PA)
- …. + One 1 year prior experience of Revenue Cycle in a Hospital Medical Office Setting. + Previous Epic or equivalent Electronic Medical Record experience. + ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- GE Aerospace (Erie, PA)
- …improvements. + Develop in-depth knowledge of a technical discipline. Use prior experience and acquired technical expertise to execute policy/strategy. + ... and has ability to propose different solutions outside of set parameters. Uses prior experience and on-the-job training to solve tasks. Has access to technical… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... tools and resources. Serves as the in-house expert for referral and authorization requirements - proactively advises patients and staff on insurance/managed care… more
- UPMC (Tobyhanna, PA)
- …on-site presence in the office as needed. The ideal candidate will have prior experience working with children, adolescents and IBHS. A Care Manager is responsible ... and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these… more
- UPMC (Pittsburgh, PA)
- …and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these ... lead for other members of his/her team. **Responsibilities:** + Makes authorization determinations for medically necessary services independently, within the scope… more
- Commonwealth of Pennsylvania (PA)
- …and accurately documenting daily care in the designated forms and electronic medical records. Interested in learning more? Additional details regarding this position ... illness, or developmental disability. Special Requirements: + This position requires active authorization to practice as a Registered Nurse in Pennsylvania. + This… more