• 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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  • Referral / Pre -Auth…

    PeaceHealth (Vancouver, WA)
    **Description** **PeaceHealth is seeking a Referral / Pre -Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The ... **DETAILS OF THE POSITION:** + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre - authorization for patients and… more
    PeaceHealth (09/04/25)
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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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  • Prior Authorization Specialist

    Select Medical (West Orange, NJ)
    …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )**… more
    Select Medical (08/23/25)
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  • Insurance Authorization & Verification…

    WesleyLife (Urbandale, IA)
    …and purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist ** As a Insurance Authorization & ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist , you will:** +...Ongoing leadership training and development pathways **Extra Perks:** + Referral Bonus Program - bring your friends and earn… more
    WesleyLife (08/28/25)
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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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  • Authorization Specialist

    WMCHealth (Port Jervis, NY)
    Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in...clinical documentation. . 3-5 years of experience in a pre - authorization specialty preferred. . Consideration of… more
    WMCHealth (08/19/25)
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