Top 1932 Business support coordinator Jobs in Pennsylvania

Intake Coordinator
Highmark Inc. —Pennsylvania
- Full-time
- Hybrid work
- Word processing
- Research
- High school diploma or GED
11d
Recruiting Coordinator
Angi —Philadelphia, PA
- $50,000 - $75,000 a year
- Full-time
- Remote
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Lead Therapist II for Social Skills Group - $6,000 Hiring Bonus
Wesley Family Services —Wexford, PA
- $21 - $23 an hour
- Weekends as needed
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid parental leave
Quick Apply
1d
Lead Therapist II for Social Skills Group - $6,000 Hiring Bonus
Wesley Family Services —Bridgeville, PA
- $21 - $23 an hour
- Weekends as needed
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Continuing education credits
- Paid parental leave
Quick Apply
Life Insurance New Business Coordinator / Case Manager
The Monteverde Group —Pittsburgh, PA
- $65,000 - $85,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Certified Pharmacy Technician- Closed Door | Onsite- Pittsburgh
Blink Health —Pittsburgh, PA
- Call employer
- Mid-level
- In-person
- Paid holidays
- Health insurance
Quick Apply
Clinical Coordinator - Crisis Intervention
Holcomb Behavioral Health Systems —Reading, PA
- From $60,000 a year
- Full-time
- Mid-level
- 3 years
- Master's degree
- 403(b) matching
- Disability insurance
Permitting Project Coordinator
GreenKey Solar —Pennsylvania
- $90,000 - $120,000 a year
- Full-time
- Public speaking
- Mid-level
- 3 years
- Health savings account
- Health insurance
Quick Apply
9d
Senior Civil Engineer
LIVIC Civil —Montoursville, PA
- From $70,000 a year
- Full-time
- Civil engineering
- Research
- Quality control
- Health savings account
- Health insurance
Quick Apply
10h
Vascular Specialty Track Coordinator/Instructor
South Hills School of Business & Technology —State College, PA
- Full-time
- Laboratory
- Mid-level
- Office
Quick Apply
Bilingual Youth Program Coordinator
Casa San Jose —Pittsburgh, PA
- From $21 an hour
- Weekends as needed
- Background check
- Spanish
- Social media management
- Health insurance
- Dental insurance
Quick Apply
Program Coordinator - Autism Services
Wesley Family Services —Wexford, PA
- $50,000 - $56,000 a year
- Weekends as needed
- Hybrid work
- LMFT
- Certified Nurse Practitioner
- Licensed Clinical Social Worker
- Paid parental leave
- Paid holidays
Quick Apply
Adult DAS Worker - $1,000 Hiring Bonus
Wesley Family Services —New Kensington, PA
- $17 - $18 an hour
- Weekends as needed
- Serving
- Clean driving record
- Psychiatry
- Paid parental leave
- Paid holidays
Quick Apply
Pharmacy Partner Coordinator
Blink Health —Pittsburgh, PA
- Mid-level
- Office
- 3 years
- Free parking
- Commuter assistance
Quick Apply
10d
Digital Product Content Coordinator
PEI-Genesis —Philadelphia, PA
- Temporary
- Background check
- Marketing
- Merchandising
Quick Apply
14d
Community Support Professional - Scranton
Beacon Specialized Living —Scranton, PA
- $16 - $17 an hour
- Weekends as needed
- Writing skills
- Pass drug screening
- Adults
Quick Apply
10d
Vendor Relations Coordinator
A Taste of Your Town, LLC —Broomall, PA
- $40,000 - $50,000 a year
- Weekends as needed
- Google Workspace
- Customer service
- Research
Quick Apply
Social Skills Group Therapist - Master's Level (PRN)
Wesley Family Services —Bridgeville, PA
- $24 - $30 an hour
- Part-time
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- LPC
- Free parking
- 401(k)
Quick Apply
Business Development Coordinator - Mandarin Speaking
HungryPanda —Philadelphia, PA
- $15 an hour
- Part-time
- Mid-level
- Business development
- Organizational skills
Quick Apply
1d
RN REGISTERED NURSE ASSESSMENT COORDINATOR
Elan Skilled Nursing —Scranton, PA
- From $42 an hour
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
2d

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Intake Coordinator

Highmark Inc. -
Pennsylvania

Apply Now

Job Details

Full-time
11 days ago

Qualifications

High school diploma or GED

Full Job Description

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At times may require follow-up communication with the requestor's office (physicians or pharmacists). This role may be required to make outbound calls and/or triage cases if inventory levels require support.

ESSENTIAL RESPONSIBILITIES

Obtain requests from provider or pharmacy via fax, provider portal or service form inquiry. May obtain requests from provider or pharmacy by phone in some areas of the organization. Use multiple software systems and various resource sites to determine member plans and requirements. Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system.
Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist. At times, outreach to providers and/or pharmacists may be required to obtain additional information.
Ensure accuracy of data entry to prevent compliance and/or downstream process issues.
Other duties as assigned or requested.

EXPERIENCE

Required

1 year of Customer Service experience

SKILLS

Possess good written and oral telephonic communication skills
Ability to navigate through multiple systems simultaneously
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
Ability to interact well with peers, supervisors, and customers
Problem-Solving
Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services.

EDUCATION

Required

High School/GED

LICENSES or CERTIFICATIONS

Required

None

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Apply Now

Refine Your Search

business support coordinator jobs in pennsylvania

Intake Coordinator

Recruiting Coordinator

Lead Therapist II for Social Skills Group - $6,000 Hiring Bonus

Lead Therapist II for Social Skills Group - $6,000 Hiring Bonus

Life Insurance New Business Coordinator / Case Manager

Certified Pharmacy Technician- Closed Door | Onsite- Pittsburgh

Clinical Coordinator - Crisis Intervention

Permitting Project Coordinator

Senior Civil Engineer

Vascular Specialty Track Coordinator/Instructor

Bilingual Youth Program Coordinator

Program Coordinator - Autism Services

Adult DAS Worker - $1,000 Hiring Bonus

Pharmacy Partner Coordinator

Digital Product Content Coordinator

Community Support Professional - Scranton

Vendor Relations Coordinator

Social Skills Group Therapist - Master's Level (PRN)

Business Development Coordinator - Mandarin Speaking

RN REGISTERED NURSE ASSESSMENT COORDINATOR

I want to receive the latest job alert for business support coordinator in pennsylvania

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