- 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)
- …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
- 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...ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays… 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)
- …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...ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays… 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
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Gastroenterology Associates- UPMC located at 5200 Centre Ave. ... 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 (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 (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