- 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 ... Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals , collecting appropriate clinical support to… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. This is ... of pharmacy utilization and provides expertise in managing member care through the prior authorization and appeals process for medications. These services… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for Fertility and ... from home flexibility, after completion of training. **Position Specifics:** The Sr. Authorization Specialist also functions as the IVF Financial counselor for… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... guarantor + Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization ; follow-up on appeals and denials when requested +… more
- Army National Guard Units (Gap, PA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a TRAFFIC MANAGEMENT SPECIALIST , Position Description Number D2914000 and is part of the PA Training ... may be hired against this Announcement. Responsibilities As a TRAFFIC MANAGEMENT SPECIALIST , GS-2130-09, you will act as Garrison Fleet Manager to provide oversight… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention ... Overview Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate… more