Top 40 Insurance verification 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
Patient Access Representative
Planned Parenthood Keystone —Lancaster, PA
- $22 an hour
- Full-time
- Hybrid work
- Computer literacy
- Adults
- Computer skills
- AD&D insurance
- Disability insurance
Quick Apply
Referral Coordinator I- CART/Full Time/Days
Penn Medicine —East Petersburg, PA
- Full-time
- Primary Care
- High school diploma or GED
- 1 year
- Tuition reimbursement
Quick Apply
8d
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
6d
Customer Service Specialist, Full-tim
Penn Medicine —Lancaster, PA
- HIPAA
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Customer Service Specialist- Wellness Express (Full Time/Day & Evening Shift)
Penn Medicine —Lancaster, PA
- Full-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
1d
Clinical Service Specialist
Penn Medicine —Lancaster, PA
- Customer service
- Administrative experience
- High school diploma or GED
- Tuition reimbursement
Quick Apply
8d
Billing Specialist
UNION COMMUNITY CARE —Lancaster, PA
- Spanish
- Basic math
- HIPAA
Prior Authorization Specialist
York Pain Center —Red Lion, PA
- $18 - $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
4d
Customer Service Specialist- Neurology (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, Emergency Medicine - 3rd shift
Penn Medicine —Lancaster, PA
- Overnight shift
- Administrative experience
- High school diploma or GED
- ER
- 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
9d
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
8d
Billing/Payer Enrollment Specialist
UNION COMMUNITY CARE —Lancaster, PA
- Spanish
- Basic math
- HIPAA
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 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
Patient Access Assistant I - Surgical Specialists Apple Hill - Days
Wellspan Health —York, PA
- Full-time
- Surgery
- Computer literacy
- High school diploma or GED
- Paid parental leave
- Health insurance
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- 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

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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

insurance verification specialist jobs in lancaster pa

Authorization Specialist

Patient Access Representative

Referral Coordinator I- CART/Full Time/Days

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

Customer Service Specialist, Full-tim

Customer Service Specialist- Wellness Express (Full Time/Day & Evening Shift)

Clinical Service Specialist

Billing Specialist

Prior Authorization Specialist

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

Customer Service Specialist, Emergency Medicine - 3rd shift

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

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

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

Billing/Payer Enrollment Specialist

Part time Patient Engagement Associate / Centralized Scheduling / Specialty Practices

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

Patient Access Assistant I - Surgical Specialists Apple Hill - Days

Part-time Patient Engagement Associate- Family Medicine Practices

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

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