Top 16 Prior authorization specialist Jobs in Lancaster, Pa

Authorization Specialist
OSS Health —York, PA
- Monday to Friday
- Hybrid work
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Profit sharing
- Disability insurance
Pharmacy Technician - Prior Authorization
Altruix —Lancaster, PA
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
1d
Customer Service Specialist- Imaging Service Center (Full Time/Day Shift)
Penn Medicine —Lancaster, PA
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
14h
Customer Service Specialist Admissions Lancaster General Hospital (Part Time/Day Shift )
Penn Medicine —Lancaster, PA
- Part-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Customer Service Specialist- Centerville Family Medicine (Part Time/Day & Evening Shift)
Penn Medicine —Lancaster, PA
- Part-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Customer Service Specialist- May Grant OBGYN (Full Time/Day Shift)
Penn Medicine —Lancaster, PA
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Customer Service Specialist- Vascular (Full Time/Day Shift)
Penn Medicine —Lancaster, PA
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
2d
Part-time Patient Engagement Associate- Family Medicine Practices
Penn Medicine —East Petersburg, PA
- Part-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Tuition reimbursement
Quick Apply
Customer Service Specialist- Neuroscience-Physical Rehab (Full Time/Day Shift)
Penn Medicine —Lancaster, PA
- Full-time
- Medical office experience
- Physical & Rehabilitation Medicine
- Administrative experience
- Tuition reimbursement
Quick Apply
4d
Part time Patient Engagement Associate / Centralized Scheduling / Specialty Practices
Penn Medicine —East Petersburg, PA
- Part-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Tuition reimbursement
Quick Apply
Customer Service Specialist- Walter L Aument (Part Time/Day & Evening Shift)
Penn Medicine —Quarryville, PA
- Part-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
3d
Customer Service Specialist- Sycamore Square Family Medicine (Full Time/Day & Evening Shift)
Penn Medicine —Elizabethtown, PA
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Medical Scribe
Oak Street Health —York, PA
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Dental Receptionist
Belmont Dental Associates —York, PA
- $18 - $20 an hour
- Full-time
- Dental office
- Microsoft Excel
- HIPAA
- Health insurance
- 401(k)
Quick Apply

Discover related jobs

Based on your search for prior authorization specialist jobs.

RN Utilization Management - Day Shift
ChristianaCare —Newark, DE
DE RN licensure or compact state RN licensure. Tracks all carve-outs and submits reason codes for data entry. Participates in the development and implementation…
$85,862.40 - $137,384.00 a year
14d
RN Utilization Management - Day Shift
ChristianaCare —Newark, DE
DE RN licensure or compact state RN licensure. Tracks all carve-outs and submits reason codes for data entry. Participates in the development and implementation…
$85,862.40 - $137,384.00 a year
14d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
2d
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
Quick Apply

Show more jobs in cities nearby

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

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near lancaster, pa

Customer Service Representative jobs in Lancaster, PA

Medical Scribe jobs in York, PA

Dental Receptionist jobs in York, PA

Authorization Specialist jobs in York, PA

Dmv Representative jobs in Lancaster, CA

Customer Service Representative jobs in Springfield, MA

Ssm Health Patient Access Representative jobs in Wisconsin

Customer Service jobs in Colorado Springs, CO

Customer Service Representative jobs in Lansing, MI

Customer Service Representative jobs in Apex, NC

Customer Service Representative jobs in Gresham, OR

Customer Service Representative jobs in Louisiana

Fully Remote Non Customer Service jobs in Dallas, TX

Customer Service Representative jobs in Spokane, WA

Medical Sales Representative jobs in Columbia, SC

Customer Service Representative jobs in Warren, MI

Work From Home Customer Service jobs in Raleigh, NC

Remote Customer Service jobs in Nashua, NH

Customer Service Representative jobs in Saint Paul, MN

Medical Scribe jobs in Wilmington, DE

Authorization Specialist

OSS Health -
York, PA

Apply Now

Job Details

Benefits

Profit sharing
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Anatomy knowledge
Phone communication
Medical insurance coverage verification
High school diploma or GED
ICD-10
Productivity software
Medical terminology
Office phone management

Full Job Description

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation.

Are you ready to provide a 5-star “OSSOME” experience? Apply today!

JOB SUMMARY: The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for visits, procedures, surgery, treatment, and testing with the patient’s corresponding insurance company as authorized by the physician. The Authorization Specialist will serve as a liaison between the clinical team, provider, outside facilities and the patient.

SCHEDULE: Monday - Friday 8:00am - 4:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Screens and analyzes the patient’s medical records for the documentation and criteria required to meet medical necessity for the authorization process.
Obtains patients benefit information from the insurance company.
Familiarizes self with medical policies and criteria for each insurance company.
Follows up in a timely manner with the doctor’s team if additional information is needed.
Reviews clinical documents with Nurse Reviewers and/or Utilization Managers at various insurance companies and third-party administrators.
Coordinates with other OSS department staff, external facility staff and external companies to ensure authorization/referral is obtained.
Communicates with external locations to ensure shipment of injection to OSS.
Ensures authorization is secured with the insurance company prior to scheduled service.
Obtains authorization timely when the service requires an auth prior to scheduling.
Contributes to the development and delivery of team training initiatives.
Communicates with physician’s team to notify patients when unsuccessful at obtaining pre-certification/authorization.
Documents the results of the process in the EMR systems for future reference and for claims processing.
Addresses concerns of insurance companies as well as patients in a professional, calm and understanding fashion.
Maintains an orderly and neat work area.
Maintains confidentiality and always protects sensitive data, including and not limited to patient information.
Maintains performance in alignment with audit standards set by the team/department.
Creates and modifies vendor reports.
Other duties as assigned

EDUCATION:

High School Diploma or equivalent required; Licensed Practical Nurse (LPN) or certified Medical Assistant (MA) highly preferred.

EXPERIENCE/QUALIFICATIONS:

One-year relevant experience in the medical field or in prior authorization required.
Must have basic knowledge and understanding of CPT/ICD10 codes for insurance verification. Must have basic knowledge and understanding of medications, advanced imaging studies and surgical procedures.
Must have strong clinical knowledge and understanding of medical terminology and anatomy. Orthopedic knowledge is preferred.
Must have proficient computer skills, including Microsoft Office, and skills utilizing basic office equipment.
Must be detail oriented, have excellent organizational and prioritizing skills and be able to meet competing deadlines.
Must possess a high level of analytical skills and critical thinking.
Must be able to work independently. Must be able to demonstrate initiative to provide quality and improve efficiency with an assigned workload.
Must have excellent communication skills, both written and verbal, to ensure communication is accurate.
Must have good telephone etiquette, and be able to answer the phones, identify self and direct calls appropriately.
Must be able to demonstrate flexibility by adapting to new and changing duties to meet patient needs effectively and with efficiency.

BENEFITS INCLUDE:

Competitive Wages

Medical, Dental, Vision available on the first day of employment

Disability, and Life Insurance within 90 days

Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability

Paid Time Off (PTO)

401(k) plan and profit sharing

Career Advancement Opportunities

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

prior authorization specialist jobs in lancaster, pa

Authorization Specialist

Pharmacy Technician - Prior Authorization

Customer Service Specialist- Imaging Service Center (Full Time/Day Shift)

Customer Service Specialist Admissions Lancaster General Hospital (Part Time/Day Shift )

Customer Service Specialist- Centerville Family Medicine (Part Time/Day & Evening Shift)

Customer Service Specialist- May Grant OBGYN (Full Time/Day Shift)

Customer Service Specialist- Vascular (Full Time/Day Shift)

Part-time Patient Engagement Associate- Family Medicine Practices

Customer Service Specialist- Neuroscience-Physical Rehab (Full Time/Day Shift)

Part time Patient Engagement Associate / Centralized Scheduling / Specialty Practices

Customer Service Specialist- Walter L Aument (Part Time/Day & Evening Shift)

Customer Service Specialist- Sycamore Square Family Medicine (Full Time/Day & Evening Shift)

Medical Scribe

Dental Receptionist

Discover related jobs

Explore jobs in cities nearby

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected