- Penn Medicine (Philadelphia, PA)
- …reviewed within the established timeframe. Reviews records for accuracy and to filter out duplicates prior to routing for clinical review. Utilizing scanners and ... within established timeframe. Reviews records for accuracy and to filter out duplicates prior to routing for clinical review. Utilizing scanners and scanning… more
- UPMC (Pittsburgh, PA)
- …documents the + Patient prior authorizations/ FMLA description- Appropriately fills out prior authorization forms for medications and DME and forms for ... issued by a participating NLC state. Hires and current employees working on an out -of-state NLC license who later change their residency to the state where the… more
- Hayward Laboratories Inc (East Stroudsburg, PA)
- …and standardization program. * Maintain and secure work tools. * Turn off and lock out equipment prior to maintenance or repair. Proper use and execution of ... company lock out tag out program (LOTO). * Assist in departmental activities in accordance with Director of Mechanical Services/Maintenance Manager and… more
- Amcor (Pittston, PA)
- …areas + Ensure all trailers are properly inspected and corresponding documentation is filled out properly prior to loading + Use problem-solving skills to handle ... production area with needed raw materials + Ensure labeling and packaging are correct prior to moving product into warehouse by understanding how to read a traveler… more
- St. Luke's University Health Network (Reading, PA)
- …regulations regarding billing and registration. Includes providing estimates to self-pay patients prior to service and notifying out of network patients ... their visit. + Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs when not… more
- Insight Global (Homer City, PA)
- …AED/First Aid certification, valid US driver's license. Nice to have/ what to look out for: * Prior experience on municipal or industrial wastewater plants. * ... Familiarity with clarifiers, digesters, aeration systems, and process piping * Titles: Wastewater Construction Manager, Water Treatment Superintendent. null We are a company committed to creating diverse and inclusive environments where people can bring their… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital… more
- CVS Health (Harrisburg, PA)
- …Pharmacist skills to the next level with a Fortune 6 company? Check out this outstanding opportunity for a Clinical Pharmacist with CVS Health. This position ... is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and... Authorization team. - Collaborates with the technicians and prior authorization team members to process referrals, including answering… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... critical role manages the process of receiving, researching, and resolving prior authorizations and appeals issues with health insurance companies, including any… more
- AmeriHealth Caritas (Philadelphia, PA)
- … customer service experience required. + Call center experience taking in-bound and/or out -bound calls preferred. + Prior experience in the healthcare or managed ... project a positive image of the company in and out of the office to fellow associates, members, providers,...with integrity and respect. We stand together to speak out against injustice and to break down barriers to… more