- CenterWell (Harrisburg, PA)
- …of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. + EMR ... strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping how our… 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 ... of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization… 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 ... 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
- 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 ... The role also handles non-clinical referrals. Responsibilities: + Coordinate pre- authorization process + Confirm the authorization is...+ Coordinate pre- authorization process + Confirm the authorization is on file in a timely manner. +… more
- AmeriHealth Caritas (Philadelphia, PA)
- … source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information ... us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home… 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 ... each day. Are you living your life's work? Job Title: Contact Center Specialist I Entity: LGH Location: Penn Medicine Lancaster General Health Administration - 1097… 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 ... time (40 hours per week). Position Summary: The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ordering… more