• Network 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 (11/26/25)
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  • Senior Product Owner - Clinical Referral

    CenterWell (Harrisburg, PA)
    …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to ... of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement.… more
    CenterWell (11/25/25)
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  • Patient Access Specialist - Chambersburg…

    WellSpan Health (Chambersburg, PA)
    …17. Follows add-on process for tests/procedures regarding scheduling for authorizations/ referral process. 18. Reviews scheduled bookings to certify coordinating ... software programs for insurance verification. 4. Notifies ordering provider of authorization status. 5. Obtains authorizations and referrals as required by… more
    WellSpan Health (11/26/25)
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  • Care Management Specialist - Behavioral…

    WellSpan Health (Chambersburg, PA)
    …Inpatient Rehabilitation Facility admission determination including third party payor authorization . + (Inpatient Rehab only) Works with physicians, patient and ... Conferences, Huddle, and family teaching. + (Inpatient Rehab only) Responsible for re- authorization by third party payors for patient continuing stay on Inpatient… more
    WellSpan Health (11/04/25)
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  • Specialist Software Engineer - Backend…

    Aegon Asset Management (Philadelphia, PA)
    …the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research ... be required. + Moderate travel Applicants must possess legal authorization to work for our company in the US...Inclusion and Diversity Programs + Employee Recognition Program + Referral Bonus Programs Inclusion & Diversity We believe our… more
    Aegon Asset Management (10/17/25)
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  • Licensed Practical Nurse - Vascular Surgery - Full…

    Guthrie (Sayre, PA)
    …Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation ... chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's… more
    Guthrie (11/27/25)
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  • Graduate Practical Nurse-Acute Care-Full Time

    Guthrie (Sayre, PA)
    …+ Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. + Assists in smooth departmental operation ... chart as requested. + Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's… more
    Guthrie (09/18/25)
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