- 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
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination of patient care.… more
- CVS Health (Moon Township, PA)
- …processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or apply ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and all ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...and insurance payor or contracted provider websites to perform prior authorization , edit, and denial services. +… more
- Penn State Health (Hershey, PA)
- …more detailed steps for assistance._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Pharmacy Outpatient **Location** US:PA:Hershey | ... School Diploma or equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE,… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Lehigh County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4531767) Apply ... Drug & Alcohol Case Management Specialist (Local Government) - Lehigh County D&A Salary $50,614.00...and other drug usage. This includes reviewing requests for authorization of services by providers, gathering clinical and other… more
- St. Luke's University Health Network (Allentown, PA)
- …and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion* Obtains knowledge of any barrier's ... 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 responsible… more
- US Army Corps of Engineers (Pittsburgh, PA)
- …in the competitive service. About the Position: Serve as Regulatory Specialist using professional knowledge of natural/human environment theories and practices to ... to implement directives from higher authority. Determine appropriate type of authorization for proposed projects. Evaluate Department of the Army (DA) permit… more
- Air National Guard Units (Horsham, PA)
- …32 EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST (CUSTSPT), Position Description Number D2182P01 and is part of the Pennsylvania ... be hired against this Announcement. Responsibilities As an IT Specialist (CUSTSP), GS-2210-11, you will manage the assigned IT/communications...become members of the PANG AOC 6: Individuals with Prior Service or No Prior Service, who… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- Nestle (Hazleton, PA)
- …and nutrition for patients and consumers. **Position Summary:** The IT Operations Specialist ensures the smooth and efficient operation of our in-house computer ... both a distribtuions facility and administrative operations. As an IT Operations Specialist , you will be responsible for various tasks including the installation,… more
- Lancaster General Health (Lancaster, PA)
- **Summary** **Job Description** **POSITION SUMMARY:** The Contact Center Specialist provides complete and accurate scheduling, registration, insurance verification, ... to perform the following duties: + **The Contact Center Specialist I is fully trained in one of the...whether an appointment will require an insurance referral or authorization (and enter into system upon receipt) to ensure… more
- Bridgestone Americas (Pittsburgh, PA)
- …**Job Category** Legal, Compliance & Audit **Position Summary** The Compliance Specialist is responsible for assisting in the development and administration of ... assess the adequacy of the Bank's policies and procedures. The Compliance Specialist is required to be fully knowledgeable with applicable consumer compliance laws… more
- Public Buildings Service (Philadelphia, PA)
- Summary As a Contract Specialist , you will satisfy customer needs through the professional placement of Government contracts. Location of position: Public Buildings ... full performance level the major duties for the Contract Specialist , GS-1102-12, include but are not limited to the...If selected, you must meet the following conditions: Receive authorization from OPM on any job offer you receive,… more
- UPMC (Harrisburg, PA)
- …and maximize plan benefits. + Obtains payor specific pre-determination and/or prior authorization procedures and documentation requirements. If applicable ... facilitates the prior authorization process for patients and healthcare providers. + Determine medical necessity based on current policies and stays updated on… more
- Penn Medicine (Philadelphia, PA)
- …Hours: Fulltime, Monday-Friday, 8:00am - 4:30pm, Hybrid Summary: The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly ... if necessary and if appropriate collects patient responsibility for patients prior to care. Accurately identifies primary and secondary payers. This individual… more
- GE Vernova (Findlay, PA)
- …+ Bachelor's degree from an accredited university or college + Prior experience in government and commercial contract formation and execution preferred ... + Prior experience with DoD contracts or subcontracts and a...Federal Government contracting regulations + Experience as a Contract Specialist in the defense industry _This role requires access… more
- WellSpan Health (Chambersburg, PA)
- …17. Receives requests for outpatient and inpatient information. Obtains proper authorization and identification prior to release of information. Understands ... Medical Records Specialist Location: Chambersburg Hospital, Chambersburg, PA Schedule: Full Time Sign-On Bonus Eligible Remote/Hybrid Regular Apply Now See More… more
- Robert Half Office Team (Trevose, PA)
- Description We are offering an opportunity for a Referral Specialist in the Healthcare, Hospitals, and Social Assistance industry. The role is based in Trevose, PA ... documents support the provided services. + Request/Submit and follow up for Prior Authorizations (PARs) and PCP referrals. + Generate communication to the… more