- 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 (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 (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
- Highmark Health (Pittsburgh, PA)
- …and overseeing referral screening/management. **ESSENTIAL RESPONSIBILITIES** + Prior Authorization & Utilization Management: Reviews pharmacy utilization ... **Company :** Allegheny Health Network **Job Description :** **JOB SUMMARY** This role...administration of effective and efficient processing for pharmacy benefits prior authorization processes, insurance evaluations, addressing patient… more
- 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
- 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