• Network Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital… more
    St. Luke's University Health Network (08/01/25)
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  • Authorization Specialist (Physical…

    UPMC (Pittsburgh, PA)
    …required to the Mercy Hospital clinic as needed. The Authorization Specialist position is primarily responsible for prior authorizations for injections and ... Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Authorization Specialist to join their team at the Kaufmann Building… more
    UPMC (08/01/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (07/24/25)
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  • Clinical Service Specialist (Full time,…

    Penn Medicine (Lititz, PA)
    …Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable ... tests. + Understands insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification of insurance… more
    Penn Medicine (08/01/25)
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  • Insurance Verification Specialist - Pool…

    Trinity Health (Newtown, PA)
    …within HIS. + Communicates with patients and physician/offices regarding authorization / referral requirements. Identifies potential need for financial ... **Description:** **_Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team!_** **Employment Type** : POOL **Shift:**… more
    Trinity Health (06/27/25)
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  • Contact Center Specialist I (40 hours/week)

    Penn Medicine (East Petersburg, PA)
    …into the computer system + Determine whether an appointment will require an insurance referral or authorization and enter into system upon receipt to ensure ... life's work? Summary: + Position Summary: The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ordering… more
    Penn Medicine (07/30/25)
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  • Customer Service Specialist - Family…

    Penn Medicine (Lancaster, PA)
    …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and manual verification of insurance coverage and… more
    Penn Medicine (08/02/25)
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  • Customer Service Specialist - The Surgical…

    Penn Medicine (Lancaster, PA)
    …Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable ... tests. + Understands insurance company coverage and referral authorization requirements of payors. Performs electronic...order release process es . + One 1 year prior experience of Revenue Cycle in a Hospital Medical… more
    Penn Medicine (07/26/25)
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  • Customer Service Specialist Women & Babies…

    Penn Medicine (Lancaster, PA)
    …Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable ... tests. + Understands insurance company coverage and referral authorization requirements of payors. Performs electronic...order release process es . + One 1 year prior experience of Revenue Cycle in a Hospital Medical… more
    Penn Medicine (07/22/25)
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  • Customer Service Specialist - Physical…

    Penn Medicine (Lancaster, PA)
    …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
    Penn Medicine (06/24/25)
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