Top 28 Prior authorization Jobs in Carlisle Pa

Medical Bill Review Supervisor
Hoover Rehabilitation Services, Inc. —Mechanicsburg, PA
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
DermDox Dermatology —Camp Hill, PA
- $20 - $24 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
4d
Patient Access Representative
Planned Parenthood Keystone —Harrisburg, PA
- $22 an hour
- Full-time
- Hybrid work
- Computer literacy
- Adults
- Computer skills
- AD&D insurance
- Disability insurance
Quick Apply
Clinical Care Assistant
CarePath Injury Centers of Pennsylvania —Carlisle, PA
- $17.00 - $27.87 an hour
- Full-time
- Background check
- Spanish
- English
- Paid training
- Paid holidays
Quick Apply
Medical Office Associate - Harrisburg
Penn State Health —Harrisburg, PA
- Full-time
- Background check
- High school diploma or GED
- Geriatrics
- Paid parental leave
- Health insurance
Complex Rehab Case Coordinator (DME/HME)
BLACKBURN'S PHYSICIANS PHARMACY —Harrisburg, PA
- $20 - $23 an hour
- Full-time
- Background check
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Image Verifier, Neurodiverse Solutions
CAI —Middletown, PA
- $14 an hour
- Full-time
- Office
- High school diploma or GED
- Typing
- Health insurance
- Dental insurance
Case Manager (Pool/PRN)
Connections Health Solutions —Harrisburg, PA
- Full-time
- Adults
- Mid-level
- Master's degree
- Paid parental leave
- Health savings account
Quick Apply
Financial Counselor | Oncology
UPMC —Mechanicsburg, PA
- $19.41 - $29.15 an hour
- Full-time
- Hybrid work
- Word processing
- Medical office experience
- HIPAA
PART-TIME MEDICAL ASSISTANT
Pennsylvania Headache Center —Camp Hill, PA
- $20 - $22 an hour
- Part-time
- Private practice
- HIPAA
- Mid-level
Quick Apply
11d
Medical Assistant
DCSS MANAGEMENT LLC —Camp Hill, PA
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
5d
Medical Assistant
Advanced Podiatry Services, LLC —Harrisburg, PA
- $15 - $19 an hour
- Part-time
- Vital signs
- In-person
- Communication skills
- Free parking
- Paid training
Quick Apply
Medical Bill Review/Coding Specialist
Health Options & Management Services —New Cumberland, PA
- Email
- Computer literacy
- Mid-level
- Office
Field Reimbursement Manager
Valeris, Inc. —Harrisburg, PA
- Full-time
- Background check
- Pass drug screening
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
13d
Front Desk Receptionist
US Foot & Ankle Specialists —Mechanicsburg, PA
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
10d
Pharmacy Technician
United Urology Group —Gettysburg, PA
- Full-time
- Background check
- Basic math
- HIPAA
Quick Apply
Registered Nurse
IHMS USA, Inc —Gettysburg, PA
- $45.75 - $48.30 an hour
- Full-time
- Spanish
- Nursing
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
Complex Rehab Lead - Harrisburg, PA
Blackburn's Physicians Pharmacy, Inc. —Harrisburg, PA
- Full-time
- Anatomy knowledge
- Microsoft Outlook
- Mid-level
Quick Apply
Patient Representative
Advanced Medical Management LLC —Harrisburg, PA
- $20 an hour
- Microsoft Outlook
- Computer literacy
- Pass drug screening
- Paid training
- Health savings account
Quick Apply
Payor Change Coordinator- Remote
Apria Healthcare LLC —Harrisburg, PA
- $35,000 a year
- Full-time
- Remote
- English
- Research
- Mid-level
- Paid parental leave
- Disability insurance
Quick Apply
3d

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Medical Bill Review Supervisor

Hoover Rehabilitation Services, Inc. -
Mechanicsburg, PA

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Workers' compensation law
Microsoft Excel
Microsoft Outlook
Copy machines
Microsoft Office
Workers' compensation insurance knowledge
Supervising experience
Fax machines
Desktop applications
CPT coding
Workers' compensation
Faxing
Managing medical billing & coding team teams

Full Job Description

NOTE:

While this is primarily a work-from-home position, the selected candidate may be required to travel to/work from our Mechanicsburg, PA office on occasion, such as for initial and periodic training or other purposes, so the ideal candidate will reside in Central Pennsylvania, or in Pennsylvania at large or surrounding states.

Position Summary:

The medical bill review/cost containment supervisor ensures that the Company’s medical bill review staff meets daily production and accuracy quotas in analyzing and processing workers’ compensation and auto medical invoices in accordance with prevailing fee schedule or UCR guidelines.

Duties include:

Oversees the daily operations of the Company’s medical bill review/cost containment department, supervising all medical bill review/cost containment staff
Ensures the efficient repricing and direction of incoming bills during analysis and bill payments based on applicable repricing rules/edits and prevailing fee schedule or UCR guidelines
Responsible for the accurate and efficient coding of medical bills into the Company’s repricing database
Reviews medical fee and other supporting documentation for appropriate use of CPT and ICD-10 codes/fee schedules
Reviews medical fee data, supporting data, and other documentation or resources (including duplication and prior authorization verification) to ensure appropriate use of CPT, ICD-10 codes and correct reimbursement of billed services
Resolves bills/issues flagged by medical bill review staff
Efficiently reprices and directs incoming bills by analyzing bill payments based on guidelines of prevailing fee schedule
Accurately and efficiently codes medical bills into the Company’s repricing database

Required skills/abilities include:

Demonstrated supervisory experience in workers’ compensation and auto medical bill review/cost containment, bill repricing and/or bill coding
Ability to speak and write clearly and concisely, while applying strong interpersonal communication skills
Ability to adapt to changes in duties and assignments in the work environment
Ability to organize, prioritize and coordinate multiple tasks
Ability to produce work in high quantity and quality
Proficiency in Microsoft Office applications; Word, Outlook (Excel a plus) and standard office equipment, including computers, fax machines, copiers, printers, telephone, calculators, etc.

Preferred qualifications:

Appropriate certification as a medical biller/coder
Two years of experience as a medical biller/coder
RNs with experience in medical bill repricing are encouraged to apply
Previous experience in a medical bill repricing supervisory capacity
Experience repricing workers’ compensation and auto bills, particularly in the New York jurisdiction

Work Environment:

This position will be performed primarily from the the selected candidate's home using company-provided software/online repricing platform, but the selected individual may be required to travel to the Company’s corporate home located at 1970 Technology Parkway, Mechanicsburg, PA 17050. Thus, QUALIFIED CANDIDATES RESIDING IN PENNSYLVANIA WILL BE HIGHLY PREFERRED.

Mental/Physical Requirements:

This position involves sitting and working with a keyboard and monitor for the entire workday.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Application Question(s):

Are you an RN? (Preferred, Not Required)

Experience:

Bill Review or Coding: 2 years (Required)
medical bill review supervisory: 2 years (Preferred)

Work Location: Hybrid remote in Mechanicsburg, PA 17050

Quick Apply

Refine Your Search

prior authorization jobs in carlisle pa

Medical Bill Review Supervisor

Medical Assistant

Patient Access Representative

Clinical Care Assistant

Medical Office Associate - Harrisburg

Complex Rehab Case Coordinator (DME/HME)

Image Verifier, Neurodiverse Solutions

Case Manager (Pool/PRN)

Financial Counselor | Oncology

PART-TIME MEDICAL ASSISTANT

Medical Assistant

Medical Assistant

Medical Bill Review/Coding Specialist

Field Reimbursement Manager

Front Desk Receptionist

Pharmacy Technician

Registered Nurse

Complex Rehab Lead - Harrisburg, PA

Patient Representative

Payor Change Coordinator- Remote

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