- UPMC (Media, PA)
- …all levels of the continuum, and for providing any and all required pre - certification , continued stay and/or discharge reviews; service authorization, and care ... IRS rate. This position will primarily be working with pre - and post-natal care. A Care Manager is responsible...or priority populations and in public sector systems. + Certification as a Certified Addiction Counselor (CAC) or Certified… more
- Highmark Health (Pittsburgh, PA)
- …aspects of job responsibilities. + Obtains or ensures acquisition of appropriate pre - certification authorizations from third party payers and placement to ... multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). + Professional Certification within 5 years of start date. Incumbents in role as of… more
- Penn Medicine (Lancaster, PA)
- …scheduler. + Prior pre -authorization experience. + Bi-lingual Spanish . + Insurance pre - certification experience. + Knowledge of CPT codes and ICD codes and ... assistants, and or other specialists' schedules. + Obtains necessary pre -authorizations for all procedures. + Assists in the preparation...prior to the day of the procedure. + Reviews pre procedure checklist to verify all required tests are… more
- Penn Medicine (Philadelphia, PA)
- …clinical and demographic information to payer to obtain the proper authorization/ pre - certification for the services being rendered. + Identifies potential ... Experience:** + HS Diploma/GED (Required) + And 3-5 years minimum of Pre - certification experience (Required) We believe that the best care for our patients… more
- Wellpath (Lemoyne, PA)
- …RN preferred. Experience + Previous utilization review and/or case management and pre - certification experience + Knowledge of InterQual evidence based guideline ... the Medical Review procedure, including claims holds. + Review and pre -certify referrals for outpatient physician visits, office procedures, surgical procedures,… more
- Penn Medicine (Philadelphia, PA)
- …with pharmacist direction. Responsibilities: + Determines patient insurance requirements for pre - certification , patient payments and coverage limitation and the ... entity, and health system organization Credentials: + Pharmacy Technician certification - CPhT (Required) + May be considered as...(Required) + May be considered as a trainee, with certification required within 6 months of start. Education or… more
- WellSpan Health (Chambersburg, PA)
- …physician with any discrepancy. Promptly verifies order changes with registration ( pre - certification ). 9. Accurately review patient's chart for physician's order ... through reading journals, attending meetings/in-services or CEU's to maintain certification . 30. Meets deadlines in special projects and daily responsibilities,… more
- WellSpan Health (Chambersburg, PA)
- …physician with any discrepancy. Promptly verifies order changes with registration ( pre - certification ). 10. Accurately review patient's chart for physician's ... through reading journals, attending meetings/in-services or CEU's to maintain certification . 30. Meets deadlines in special projects and daily responsibilities,… more
- Trinity Health (Langhorne, PA)
- …manner, verify insurance benefits and check for the necessity of pre - certification , authorization and referral. Perform medical necessity checks where ... rotating holidays and weekends. **Summary:** The primary function of the position is to greet, pre -register and/or register patients in a courteous and professional… more
- UPMC (Pittsburgh, PA)
- …as assigned. + Act as liaison between patient and referring physicians. + Obtain pre - certification and/or referral prior to the date of the procedure. + ... position, you will work Monday-Friday from 8:00am-4:30pm assisting with pre -operative appointment and surgery scheduling, obtaining referrals, verifying billing… more