- Globus Medical, Inc. (Collegeville, PA)
- …support to customers from the initial processing of received documentation through prior authorization , appeals support, detailed claims review, and hotline ... coverage expertise and support regarding all phases of the prior authorization process, appeals, and all related...**Physical Demands** **:** The physical demands listed here are representative of those that must be met by an… more
- Highmark Health (Harrisburg, PA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Shell (Monaca, PA)
- …refugee, asylee, temporary resident, or an individual who possesses valid work authorization . Individuals with temporary visas (H-1, H-2, J-1, F-1, etc.) or who ... require sponsorship for work authorization now or in the future are not eligible...the right to do so at any time, including prior to the advertised closing date. Before applying, you… more
- Penn Medicine (Philadelphia, PA)
- …of Compliance and HIPPA in reference to confidentiality. Assist admissions representative obtaining pre-cert and authorization numbers. Keep representatives ... will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.… more
- Cardinal Health (Harrisburg, PA)
- …simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. The Billing Representative is responsible ... other duties and projects as assigned. + Accurately verify claims for required authorization and provider credentialing prior to submission. + Reference and… more
- Shell (Monaca, PA)
- …train new hire operators on shift **What we need from you** + Must have legal authorization to work in the US on a full-time basis for anyone other than the current ... At least 3 years of relevant industry experience + Prior military experience in a relevant job function such...demands such a fee is not an authorised Shell representative and you are strongly advised to refuse any… more
- Pfizer (Collegeville, PA)
- …a late-stage clinical trial. The successful candidate should ideally have prior experience in clinical trials and supporting development programs. **ROLE ... this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility** Pfizer is committed to equal opportunity in… more
- Pfizer (Collegeville, PA)
- …preferred + Previous experience working in a Medical Affairs organization + Prior experience in Project Management, Business Operations + Expertise or experience in ... this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility** Pfizer is committed to equal opportunity in… more
- Pfizer (Collegeville, PA)
- …Strong problem-solving skills and the ability to influence senior leadership. + Prior experience in developing RWE for neurological conditions (eg, pain, headache, ... this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility** Pfizer is committed to equal opportunity in… more
- Pfizer (Philadelphia, PA)
- …product Quality decisions leveraging comprehensive knowledge of Quality/Manufacturing principles, prior work experience and concepts in other technical areas while ... this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility** Pfizer is committed to equal opportunity in… more