- UPMC (Mechanicsburg, PA)
- The NeuroSciences Institute is looking for a new Authorization Specialist to join their Sleep Medicine team. Previous Sleep Medicine experience is a plus! This ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities + Reviews and interprets… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- 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
- CenterWell (Harrisburg, PA)
- …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical ... of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. + EMR… more
- Penn Medicine (Lancaster, PA)
- … issues from intake to final resolution. + Analyzes and researches all escalated authorization referral issues in a professional manner. + Maintains a thorough ... with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance… more
- Penn Medicine (Lancaster, PA)
- …issues from intake to final resolution. + Analyzes and researches all escalated authorization / referral issues in a professional manner. + Maintains a thorough ... hospital services. The role also handles non-clinical referrals. Responsibilities: + Coordinate pre- authorization process + Confirm the authorization is on file… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information… more
- Penn Medicine (Gap, 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 (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 (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 ... you living your life's work? Job Title: Contact Center Specialist I Entity: LGH Location: Penn Medicine Lancaster General...medical record experience (Preferred) + One (1) year of prior revenue cycle in a medical office or hospital… more