- Merck & Co. (North Wales, PA)
- …execution of observational or non-interventional research studies (including Post Authorization studies), in compliance with Good Pharmacoepidemiology Practice ... of twelve (12) months of service in current position prior to applying for open positions.If you have been...by our company as a result of an agency referral where no pre-existing agreement is in place. Where… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior -authorizations and referral process for patients being referred for specialty care,...scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Maintain accurate and current referral ... to patient what their insurance company requires to meet referral / authorization compliance. + Must have the ability...to patients who have not been seen within the prior 18 months at their LGHP PCP office and… more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Maintain accurate and current referral ... to patient what their insurance company requires to meet referral / authorization compliance. + Must have the ability...to patients who have not been seen within the prior 18 months at their LGHP PCP office and… more
- Penn Medicine (King Of Prussia, PA)
- …information to internal and external customers for admissions processing; Obtain initial prior authorization for services; obtain ongoing prior ... infusion documents, incorporating new and changing insurance processes into daily practice , and consistently implementing the prescribed Authorization Tracking… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... or with complex patients.We are a fast passed family practice . We support all aspects of the office from...+ Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and… more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Serve as liaison for patient with doctor ... explain to patient what their insurance company requires to meet referral / authorization compliance. **SECONDARY FUNCTIONS:** **The following duties are… more
- UPMC (Harrisburg, PA)
- …and maximize plan benefits. + Obtains payor specific pre-determination and/or prior authorization procedures and documentation requirements. If applicable ... functions. + Possesses knowledge of insurance policy, guidelines, and referral / authorization processes. + Maintains up to date...facilitates the prior authorization process for patients and healthcare… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...yearly competency evaluation and training). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
- Lancaster General Health (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... + Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and...guidelines and order release process(es). + One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office… more
- Philips (Malvern, PA)
- …to the correct payer to obtain prompt and accurate payments. + Initiating prior authorization requests to practices and insurance carriers and follow-up with ... the insurance or practice via email, fax or phone until resolved. Initiating referral requests with the referring or PCP based on the patient's insurance… more
- Lancaster General Health (Lancaster, PA)
- …working in a surgical office or as a surgical scheduler. + Prior pre- authorization experience. + Bi-lingual (Spanish). + Insurance pre-certification experience. ... that all patient consents are available in the chart prior to the day of the procedure. + Reviews...search firms for this employment opportunity. Regardless of past practice , all resumes submitted by search firms to any… more
- Lancaster General Health (Lancaster, PA)
- …working in a surgical office or as a surgical scheduler. + Prior pre- authorization experience. + Bi-lingual (Spanish). + Insurance pre-certification experience. ... that all patient consents are available in the chart prior to the day of the procedure. + Reviews...search firms for this employment opportunity. Regardless of past practice , all resumes submitted by search firms to any… more
- Lancaster General Health (Lancaster, PA)
- …into the computer system + Determine whether an appointment will require an insurance referral or authorization (and enter into system upon receipt) to ensure ... electronic medical record experience + One (1) year of prior revenue cycle in a medical office or hospital...search firms for this employment opportunity. Regardless of past practice , all resumes submitted by search firms to any… more
- Crawford & Company (Philadelphia, PA)
- …such as CCM, CRC, COHN, CRRC preferred. + RN degree required. + Prior Workers Compensation Case Management preferred. To provide effective case management services ... service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are… more
- Merck (North Wales, PA)
- …execution of observational or non-interventional research studies (including Post Authorization studies), in compliance with Good Pharmacoepidemiology Practice ... of twelve (12) months of service in current position prior to applying for open positions. If you have...by our company as a result of an agency referral where no pre-existing agreement is in place. Where… more
- St. Luke's University Health Network (Allentown, PA)
- …care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of ... variances, aspects of patient care management. + Facilitates insurance authorization , pre-certification, and concurrent reviews for assigned patients. + Maintains… more
- Sargent & Lundy (Reading, PA)
- …by way of Sargent & Lundy's systems of process and associated "Communities of Practice ." + Provide guidance as a mentor in the development of less experienced ... package. Qualifications We do not sponsor employees for work authorization in the US for this position. Essential skills...protection, including SEL, ABB, GE, Areva, and Basler. + Prior experience is desirable to include in-line, bus and… more
- Highmark Health (Pittsburgh, PA)
- …more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and ... medical benefits and insurance information + Collects copays and prior balances and posts payment transactions. Does not calculate...after Probation Period** Recipient must stay with the same practice for a minimum of 1 year if bonus… more
