- Penn State Health (Reading, PA)
- …for elective hospital-based services, both inpatient and outpatient. + Obtain pre - certification /authorization from patients insurance payer as required by payer ... for securing all information required to accurately complete the patient pre -registration and/or registration. This includes converting the correct visit within the… more
- Penn Medicine (Philadelphia, PA)
- … Admission financial assessments with the appropriate UPHS facility to insure Pre - certification and insurance requirements are met. BM (Bed Management): Serves ... patient placements. Works in conjunction with the Bed Management RN, Pre -Cert Nurses, Administrative Coordinator, and Nursing Clinical Coordinators to assign beds… more
- St. Luke's University Health Network (Bethlehem, PA)
- …collecting all pertinent information needed and required to complete referral or pre - certification process + Determines patients' financial needs and assists ... to resolve questions and concerns. + Schedules all appropriate pre -operative tests and blood work. + Discusses pre... pre -operative tests and blood work. + Discusses pre -operative instructions with the patient, as directed by physicians.… 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
- 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
- CVS Health (Harrisburg, PA)
- …predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / ... and current state medical license without encumbrances *M.D. or DO, Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient… more
- Penn Medicine (Philadelphia, PA)
- …receiving supply orders. Responsibilities: + Determines patient insurance requirements for pre - certification , patient payments and coverage limitation and the ... department, entity, and health system organization Credentials: + Pharmacy Technician certification - CPhT (Required) Education or Equivalent Experience: + High… more
- St. Luke's University Health Network (Sellersville, PA)
- …on clinical presentation of the patient. Coordinate with insurance company to complete pre - certification as appropriate. + Build in depth understanding of MAT ... Recovery Specialist (CRS) or Certified Family Recovery Specialist (CFRS) certification within 1 year of hire and maintain the... within 1 year of hire and maintain the certification . Or A bachelor's degree TRAINING AND EXPERIENCE +… more
- Penn Medicine (Philadelphia, PA)
- …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) **Education or Equivalent Experience:** + High… more
- St. Luke's University Health Network (Sellersville, PA)
- …on clinical presentation of the patient. Coordinate with insurance company to complete pre - certification as appropriate. + Build in depth understanding of MAT ... Recovery Specialist (CRS) or Certified Family Recovery Specialist (CFRS) certification within 1 year of hire and maintain the... within 1 year of hire and maintain the certification . Or A bachelor's degree TRAINING AND EXPERIENCE: +… more