• Network Prior Authorization

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

    UPMC (Pittsburgh, PA)
    …Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Authorization Specialist to join their team at the Kaufmann Building ... Travel may be required to the Mercy Hospital clinic as needed. The Authorization Specialist position is primarily responsible for prior authorizations for… 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 ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays in treatment… more
    UPMC (07/24/25)
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  • Central Insurance Referral

    UPMC (Hanover, PA)
    …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Life Changers! UPMC is hiring a Full-Time, Central Insurance Referral Specialist II to support the office...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
    UPMC (05/21/25)
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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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  • Phlebotomy and Customer Service Specialist

    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 and manual verification of insurance… more
    Penn Medicine (07/22/25)
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  • Radiology Scheduling Specialist - Full Time…

    Trinity Health (Newtown, PA)
    …**_Trinity Health Mid-Atlantic, is looking for an experienced Radiology Scheduling Specialist to join our Patient Access team!_** **Employment Type:** Full Time ... direction of the Regional Patient Access Call Center Manager, the Scheduling Specialist is responsible for timely and accurate appointment scheduling with expertise… more
    Trinity Health (07/24/25)
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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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  • Referral Coordinator

    ChenMed (Philadelphia, PA)
    …We're rapidly expanding and we need great people to join our team. The Referral Coordinator (Care Coordinator) at our Mayfair location is a highly visible customer ... outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional… more
    ChenMed (07/31/25)
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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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