- 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
- 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
- Penn Medicine (Elizabethtown, 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
- St. Luke's University Health Network (Bethlehem, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients.… 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 ... life's work? Summary: + Position Summary: The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ordering… more
- GE Aerospace (Imperial, PA)
- …**Job Description** GE Aerospace is hiring a Lead Configuration/Data Management Specialist for the support of engineering design and development configuration ... posting is only for US Citizens. GE will require proof of status prior to employment.** **Desired Characteristics:** + Delivery of Contract Data Requirement items… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... Range USD $15.26 - USD $22.00 /Hr. Submit a Referral (https://careers-connectiverx.icims.com/jobs/1787/benefit-investigation- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-PA-Pittsburgh… more
- 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 (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 (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