Top 26 Prior authorization specialist Jobs in Bridgeville Pa

Insurance Resolution Specialist
Pantherx Specialty LLC —Pittsburgh, PA
- Full-time
- Hybrid work
- Word processing
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Authorization Specialist (Pediatric Genetic and Genomic Medicine)
UPMC —Pittsburgh, PA
- $20.00 - $30.55 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Children
4d
Clinical Authorization and Appeals Specialist
Pantherx Specialty LLC —Pittsburgh, PA
- Full-time
- Hybrid work
- Nursing
- RN License
- Ability to walk for extended periods
- Paid holidays
- Disability insurance
Quick Apply
Authorization Specialist- Pediatric Cardiology, Children's
UPMC —Pittsburgh, PA
- $20.00 - $30.55 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Children
Authorization Specialist.
METRO COMMUNITY HEALTH CENTER —Pittsburgh, PA
- Full-time
- HIPAA
- Mid-level
- 3 years
Quick Apply
Reimbursement Specialist
JKElevenEleven —Pittsburgh, PA
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Mid-level
- High school diploma or GED
- Paid training
- Health insurance
Quick Apply
Prior Authorization Supervisor
House Rx —Pittsburgh, PA
- Supervising experience
- Neurology
- Mentoring
- Dental insurance
- Paid time off
Quick Apply
11d
Reimbursement Specialist
Zeal Specialty Pharmacy —Pittsburgh, PA
- $19.00 - $21.50 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Ophthalmology Call Service Specialist
Everett and Hurite Ophthalmic Association —Pennsylvania
- $15 - $17 an hour
- Part-time
- Remote
- Customer service
- US work authorization
- In-person
- Health insurance
- Dental insurance
Quick Apply
Insurance Verification & Pre-Registration Specialist (Full-Time)
Waterfront Surgery Center —Homestead, PA
- Full-time
- Background check
- Medical office experience
- HIPAA
- Paid holidays
- Paid time off
Quick Apply
9d
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Pittsburgh, PA
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance
Patient Access Specialist/Front Desk (Full-Time Night Shift)
AHN Neighborhood Hospital —Pittsburgh, PA
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Medical Billing Specialist- Mental and Behavioral Health
Pioneer Counseling and Consulting —Canonsburg, PA
- $20.68 - $23.10 an hour
- Part-time
- HIPAA
- Mid-level
- Travel
- Paid time off
- Flexible schedule
Quick Apply
Patient Access Specialist/Front Desk (Full-Time Night Shift)
Emerus —Pittsburgh, PA
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Office (PRN/Casual Night Shift)
AHN Neighborhood Hospital —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Desk (PRN/Casual Night Shift)
AHN Neighborhood Hospital —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Desk (PRN/Casual Night Shift)
Emerus —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Patient Access Specialist/Front Office (PRN/Casual Night Shift)
Emerus —Pittsburgh, PA
- Night shift
- Microsoft Word
- Microsoft Outlook
- HIPAA
- Free parking
- 401(k) matching
Medical Billing and Coding Specialist
Allies for Health and Wellbeing —Pittsburgh, PA
- $21 - $27 an hour
- Anatomy knowledge
- Current TB test
- HIPAA
Quick Apply
1d
Long Term Care Pharmacy - Data Entry Technician
ColtRx, LLC —Canonsburg, PA
- From $20 an hour
- Full-time
- Background check
- HIPAA
- In-person
- Free parking
- Health insurance
Quick Apply
8d

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Insurance Resolution Specialist

Pantherx Specialty LLC -
Pittsburgh, PA

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Insurance third-party billing
Customer communication
Word processing
Medical claims processing software
High school diploma or GED

Full Job Description

7,000 Diseases - 500 Treatments - 1 Rare Pharmacy

PANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do.

If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.

We are seeking team members who:

Are inspired and compassionate problem solvers;

Produce high quality work;

Thrive in the excitement of the ever-challenging environment of modern medicine; and

Are committed to achieving superior health outcomes for people living with rare and devastating diseases.

At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.

Join the PANTHERx team, and define your own RxARE future in healthcare!

Location: Pittsburgh, PA (Hybrid)

Classification: Non-Exempt

Status: Full-Time

Reports to: Supervisor, Patient Access

Purpose

The Insurance Resolution Specialist verifies patient pharmacy and medical claims accurately and quickly. This role liaises between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed.

Responsibilities

Verifies all benefit information needed to process a claim under pharmacy or medical coverage.
Processes pharmacy claims on the patient’s behalf through a pharmacy benefit system.
Verifies medical benefits accurately on patient’s behalf.
Obtains authorizations & overrides as needed in coordination with insurance providers.
Processes patient information for copay cards and/or assistance programs.
Discusses with patients a review of patient financial responsibility, and obtains patient consent and payment.
Ensures proper shipment set up of prescriptions.
Supports special projects
Other tasks as assigned.

Required Qualifications

High school diploma or general education degree (GED).
Minimum 2 years’ experience processing pharmacy claims and benefit investigation.
Strong written and verbal communication skills necessary to convey ideas professionally and effectively.
Ability to multitask.
Proficient with Cover My Meds (CMM), EDS billing systems, Excel, and Word.

Preferred Qualifications

Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy.
Strong understanding of benefit verification/prior authorization process.
Experience with CPR+

Work Environment

This position operates in a home or professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

While performing the duties of this job, the employee is regularly required to sit, see, talk, or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Visual acuity is necessary for tasks such as reading or working with various forms of data for extended periods on a computer screen. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

Benefits:

Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too!

Equal Opportunity:

PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.

Quick Apply

Refine Your Search

prior authorization specialist jobs in bridgeville pa

Insurance Resolution Specialist

Authorization Specialist (Pediatric Genetic and Genomic Medicine)

Clinical Authorization and Appeals Specialist

Authorization Specialist- Pediatric Cardiology, Children's

Authorization Specialist.

Reimbursement Specialist

Prior Authorization Supervisor

Reimbursement Specialist

Ophthalmology Call Service Specialist

Insurance Verification & Pre-Registration Specialist (Full-Time)

Epic Ambulatory Bones Application Engineer Specialist - 6079188

Patient Access Specialist/Front Desk (Full-Time Night Shift)

Medical Billing Specialist- Mental and Behavioral Health

Patient Access Specialist/Front Desk (Full-Time Night Shift)

Patient Access Specialist/Front Office (PRN/Casual Night Shift)

Patient Access Specialist/Front Desk (PRN/Casual Night Shift)

Patient Access Specialist/Front Desk (PRN/Casual Night Shift)

Patient Access Specialist/Front Office (PRN/Casual Night Shift)

Medical Billing and Coding Specialist

Long Term Care Pharmacy - Data Entry Technician

I want to receive the latest job alert for prior authorization specialist in bridgeville pa

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