- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- Insight Global (Robinson, PA)
- Job Description Insight Global is seeking a Prior Authorization Specialist to help make specialty medications more accessible and affordable. This is an ... clinic experience or knowledge of specialty meds in autoimmune * Full-cycle prior authorization experience * Rheumatology clinic experience * CPhT certification… more
- Insight Global (Robinson, PA)
- …door pharmacy in the Robinson Township, PA area is looking to hire a Pharmacy Prior Authorization Specialist . This role will include assisting in the ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills - High school diploma or… more
- UPMC (Pittsburgh, PA)
- …Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Senior Authorization Specialist to join their team! This position will be ... all work is to conform. The expertise of the Authorization Specialist Senior shall include an in...applications and payor/ contracted provider web sites to perform prior authorization , edit, and denial services.4. Provides… more
- UPMC (Pittsburgh, PA)
- The Speech Pathology Department at Children's Hospital of Pittsburgh is hiring an Authorization Specialist to work at the main hospital location in ... Lawrenceville. The Authorization Specialist manages authorizations for inpatient, outpatient,...coordination. + Use UPMC systems and payor websites for prior authorizations, edits, and denials. + Resolve authorization… 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
- 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
- Globus Medical, Inc. (Collegeville, PA)
- …support to customers from the initial processing of received documentation through prior authorization , appeals support, detailed claims review, and hotline ... support. The Patient Access Specialist will be responsible for providing payer coverage expertise...coverage expertise and support regarding all phases of the prior authorization process, appeals, and all related… more
- Help at Home (Harrisburg, PA)
- **Overview** The **RCM Specialist , Client Access** reports directly to the **RCM Client Access Supervisor** and is responsible for performing data entry, ... authorization tracking, and payer communication functions within the Revenue...authorized and billable. **Responsibilities** **What You'll Do** + Obtain prior authorizations from payers and upload documentation to the… more
- Walgreens (Pittsburgh, PA)
- …patient's coverage journey from start to finish, including benefits investigation, prior authorization support, and enrollment in financial assistance programs. ... require follow-up with patients, prescribers, and payors; managing the full authorization process- prior authorizations, appeals, and medical tier exceptions-by… more
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