- St. Luke's University Health Network (Orwigsburg, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information. + Provides insurance company with clinical information necessary to secure prior - authorization or referral . + Works in alignment with Central… more
- 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 (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... 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: + 1. Reviews and… 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)
- …is crucial? If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing ... exceptional oncology care to our community. As an Authorization Specialist , you'll play a vital role...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… 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
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Gastroenterology Associates- UPMC located at 5200 Centre Ave. ... an option once an orientation period has been completed. **Responsibilities:** + Prior authorization responsibilities + 1. Reviews and interprets medical record… more
- UPMC (Lancaster, PA)
- Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area! The ideal candidate is ... in learning more about this exciting opportunity, apply today! Purpose: The Central Insurance Referral Specialist II will be responsible for coordination of the … 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 (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