• Network Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
    St. Luke's University Health Network (09/27/25)
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  • Referral Tracking Coordinator-Star…

    St. Luke's University Health Network (Bethlehem, PA)
    …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients. They are… more
    St. Luke's University Health Network (08/08/25)
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  • Case Manager, Behavioral Health (Per Diem)

    St. Luke's University Health Network (Allentown, PA)
    …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
    St. Luke's University Health Network (09/01/25)
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  • Senior Product Owner - EMR

    CenterWell (Harrisburg, PA)
    …lead strategy and execution for our referral management and specialist network solutions, including prior authorization and related EMR-integrated ... Define and track KPIs related to referral throughput, network utilization, and prior authorization efficiency; use data to drive continuous improvement.… more
    CenterWell (09/13/25)
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  • SAP Student Training and Rotation (STAR) Program…

    SAP (Newtown Square, PA)
    …make new friends across the globe and create a thriving personal network . 2. **Project-driven experience** : gain cross-functional skills from our virtual and ... : with SAP STAR Program in your title, you'll have a global network of SAP leaders, entrepreneurs and career development opportunities at your fingertips. **What… more
    SAP (09/01/25)
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  • Oncology Treatment Coordinator - Medical Oncology…

    WellSpan Health (Gettysburg, PA)
    …outpatient procedures. + Coordinates and schedules oncology treatments and verifies authorization prior to scheduling. + Facilitates creation of oncology ... DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy **Qualifications** **Minimum Education:** + High School… more
    WellSpan Health (10/03/25)
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  • Clinical Access Coordinator - OB/GYN - Brentwood…

    Highmark Health (Pittsburgh, PA)
    …more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: This job...medical benefits and insurance information + Collects copays and prior balances and posts payment transactions. Does not calculate… more
    Highmark Health (09/12/25)
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