- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more
- UPMC (Pittsburgh, PA)
- …required to the Mercy Hospital clinic as needed. The Authorization Specialist position is primarily responsible for prior authorizations for injections and ... Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Authorization Specialist to join their team at the Kaufmann Building… 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 ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise ... highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical… more
- Penn State Health (Hershey, PA)
- …family medical or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient ... High School Diploma or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE,… more
- AscellaHealth (Berwyn, PA)
- …fosters teamwork, cooperation, respect, and diversity. + Accurate and timely data entry of prior authorization requests within the prior authorization ... Fulfillment Specialist - Specialty Pharmacy What we are looking...to meet all client-specific and/or contract requirements. + Receive prior authorization requests telephonically while utilizing multiple… more
- Prime Therapeutics (Harrisburg, PA)
- …Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Heritage Ministries (Conneautville, PA)
- Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... as benefits and coverage for all secondary insurances. (Admissions will obtain pre- authorization for primary insurances other than Medicare). Obtains copies of the… more
- Penn Medicine (Lititz, PA)
- …each day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Health Location: Kissel Hill Outpatient Center- 51 Peters ... guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests. + Understands… more
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