• Prior Authorization and Referral

    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 (08/19/25)
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  • 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 ... ability to pay for health care. Responsible for accurate and timely pre -registration, submission of prior authorizations for SLPG Primary Care and Specialty… more
    St. Luke's University Health Network (08/30/25)
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  • Authorization Specialist

    UPMC (Wexford, PA)
    …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in… more
    UPMC (08/29/25)
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  • Authorization Specialist , Digestive…

    UPMC (Pittsburgh, PA)
    …activities including pre -authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...using ICD-9-CM, CPT, and HCPCS Level II. + Provides referral / pre -notification/ authorization services timely to avoid… more
    UPMC (08/26/25)
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  • Authorization Specialist

    UPMC (Pittsburgh, PA)
    …being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center!...of excellence in all work. + Utilize expertise in authorization -related activities, including pre -authorizations, notifications, edits, and… more
    UPMC (08/19/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… 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 (09/05/25)
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  • Central Insurance Referral

    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
    UPMC (09/04/25)
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  • Clinical Care Transition Specialist

    Option Care Health (Harrisburg, PA)
    …and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to ... Specialists are also responsible for proactively building strong relationships with referral sources and partnering with Account Managers to grow referral more
    Option Care Health (09/05/25)
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  • Outbound Radiology Scheduling Specialist

    Trinity Health (Newtown, PA)
    …and St. Mary Medical Center Langhorne** . The Radiology Scheduling Specialist is responsible for pre -registration, scheduling, electronically verifying insurance ... activates pre -registration. + Completes scheduling of appointment, pre -registration, insurance verification and authorization requirements with collection… more
    Trinity Health (07/08/25)
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