...providers including commercial, managed care, and governmental plans * Gathers and submits patient information to secure prior authorizations for inpatient IRF and LTACH admissions * Gathers and transmits required documentation to the Medicare Administrative Contractor... 
Suggested
For contractors
Work experience placement

Good Shepherd Rehab

Philadelphia, PA
2 hours ago
 ...that families have every opportunity to make informed, proactive, enduring organ and tissue donation decisions; Achieves superior authorization rates equal to or greater than established organizational goal. Confidently communicates with health care team (HCT) to create a... 
Suggested

Gift of Life Donor Program

Philadelphia, PA
1 day ago
 ...$2.2 Billion of in-force premium. BH GUARD Insurance Companies are rated A+ (Excellent) by AMBest. We are hiring a Delegated Authority Underwriter to support business relationship development, opportunity evaluation and delegated authority management. The ideal candidate... 
Suggested
Contract work
3 days per week

Berkshire Hathaway GUARD Insurance Companies

Philadelphia, PA
2 hours ago
 ...Maintainssystems including but not limited to HHA Exchange for all new, terminating andongoing consumers including eligibility and authorization checks. D. Responsiblefor documenting and communicating with all parties involved notices ofeligibility issues included but... 
Suggested

All American Home Care LLC

Philadelphia, PA
2 hours ago
As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit... 
Suggested
Full time
Contract work

Mindlance

Philadelphia, PA
4 days ago
 ...Job Summary: The Assurance Senior Consultant, Public Housing Authority is responsible for performing and overseeing the full cycle general accounting function and light consulting for clients in the affordable housing sector. This role will work a fluctuating and sporadic... 
Suggested
Local area

BDO

Philadelphia, PA
1 day ago
 ...between insurance carriers. • Explains insurance plan coverage and benefits to patients, as necessary. • Secures insurance authorizations and pre-certs for patient services both internal and external to Cooper. • Creates referrals for patients having a Cooper PCP.... 
Suggested
Full time

CoperUniversity Health Care

Camden, NJ
17 days ago
 ...Job Summary: The Assurance Experienced Senior Consultant, Public Housing Authority is responsible for leading accounting relating engagements in collaboration with Public Housing Finance leadership. This role will be working on an as needed basis. Job Duties: *... 
Suggested
Local area

BDO

Philadelphia, PA
1 day ago
 ...Graduate from Accredited Program Board Certified in specialty License to practice in the state of Pennsylvania Prescriptive Authority DEA Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare... 
Suggested
Full time
Shift work
Weekend work
Afternoon shift
Monday to Friday

Trinity Health

Darby, PA
4 days ago
 ...excellence in the industry in technical documentation and documentation practice. This is your chance to be a part of that, as a Technical Author. The role of a Technical Author You'll be part of an engineering team, focused on a specific Canonical product area. You will... 
Suggested
Holiday work
Local area
Remote job
Worldwide

Canonical - Jobs

Philadelphia, PA
26 days ago
 ...Remote Prior Authorization Pharmacist **Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to... 
Suggested
Remote job

Pharmacy Careers

Philadelphia, PA
10 days ago
 ...Duties The primary purpose of the job is to: Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process. Responsible for reviewing and approving... 
Suggested
Hourly pay
Contract work

Ohm Systems

Philadelphia, PA
19 days ago
 ...client and all their employees can count on effective, affordable healthcare for years to come. Position Summary: As a Prior Authorization Specialist, your primary responsibility is to assist in the prior authorization process for prescription medications. You will... 
Suggested
Part time
For subcontractor
Monday to Friday

ParetoHealth

Philadelphia, PA
4 days ago
 ...Evaluation). Covid-19 and Influenza vaccination is only required to the extent mandated by applicable federal, state, and local laws and authorities. COMPENSATION DISCLAIMER Selected candidates will be offered competitive compensation based on geographic location of... 
Suggested
Part time
Local area
Flexible hours
Weekend work
Afternoon shift

Sunrise

Darby, PA
7 days ago
 ...be eligible for the position of Automotive Assistant / Service Manager, you must (1) be at least 18 years of age; (2) be legally authorized to work in the United States; and (3) possess (i) 1 year of experience and/or training in automotive parts and/or tire sales, (ii... 
Suggested
Weekly pay
Full time
Local area
Immediate start

Mavis Tire Supply

Darby, PA
18 days ago

$170k - $200k

 ...50k-$175k base salary dependent on experience Benefits: PTO/Sick Days, 401k, Medical/Dental/Vision/Life Applicants must be authorized to work in the U.S. Preferred Skills Insurnace Insurance coverage Complex Litigation Disputes... 
Full time
Local area
Remote job

CyberCoders

Darby, PA
13 days ago
 ...Evaluation). Covid-19 and Influenza vaccination is only required to the extent mandated by applicable federal, state, and local laws and authorities. COMPENSATION DISCLAIMER Selected candidates will be offered competitive compensation based on geographic location of... 
Full time
Work experience placement
Local area
Sunday
Saturday
Afternoon shift

Sunrise

Darby, PA
14 days ago
 ...want to build yourself, give back and are ready to change the world. \n \n Be a U.S. citizen or legal permanent resident (Authorization to work in the U.S. is not sufficient. Those with DACA status unfortunately are not eligible at this time)\n Have a GED or high... 
Permanent employment
Full time
Remote job
Relocation package

City Year

Darby, PA
8 days ago
 ...Already licensed in Life Insurance is a plus Requirements Must be at least 18 years old, Must be currently living and authorized to work in the U.S. Must be a high school graduate or equivalent. Must have a State Approved Life Insurance License or be Willing... 
Remote job
Work from home

Clarks Financial Services

Darby, PA
a month ago
 ...for ensuring employees are trained on Batch record, SOPs, equipment, all unit operations and non-manufacturing SOPs and systems Authors, reviews and approves technical documents such as non-conforming events and deviations Identifies, suggests, participates,... 
Contract work
Local area

WuXi AppTec

Philadelphia, PA
1 day ago
 ...certification program. Training, testing, and bonuses are provided! Subject to DOT drug testing. DOT Regulation 49 CFR Part 40 does not authorize the use of Schedule I drugs, including marijuana, for any reason. Get your career on the road with First Student!    In the... 
Hourly pay
Holiday work
Full time
Contract work
Immediate start
Shift work
Monday to Friday

First Student

King of Prussia, PA
18 days ago
 ...medications/blood products using the correct medication/blood product, dosage/amount, route, time, and technique. * Assures pre-authorization and appropriate consent forms are obtained prior to administration of therapies where applicable. * Facilitates dose modification... 
Holiday work
Full time
Shift work
Afternoon shift

US Oncology, Inc

Wynnewood, PA
2 days ago
 ...Current State issued Nurse Practitioner license * 1+ year as a practicing Nurse Practitioner * DEA Certification with full prescriptive authority * 5+ years a Registered Nurse with experience in elderly care PREFERRED * Bi-lingual Benefits InnovAge is dedicated to empowering... 
Holiday work
Temporary work
Flexible hours
Night shift
Weekend work
Monday to Friday

InnovAge

Philadelphia, PA
7 hours ago
 ...-5 years experience or equivalent combination of education and experience. Licensed Advanced Nurse Practitioner with prescriptive authority in the Commonwealth of Pennsylvania; PA. Controlled Substance License, Federal DEA. Experience with a diverse college student population... 
Flexible hours
Afternoon shift

Hospital of the University of Pennsylvania

Philadelphia, PA
3 days ago
 ...certification program. Training, testing, and bonuses are provided! Subject to DOT drug testing. DOT Regulation 49 CFR Part 40 does not authorize the use of Schedule I drugs, including marijuana, for any reason. Get your career on the road with First Student!    In the... 
Hourly pay
Holiday work
Full time
Contract work
Immediate start
Shift work
Monday to Friday

First Student

King of Prussia, PA
1 day ago
 ...* Gerontological Nurse Practitioner * Active, non-probationary state Nurse Practitioner license * Active DEA license * US Work Authorization * Someone who embodies being 'Oaky'* Preferred Qualifications * Experience in primary care: internal medicine, geriatrics, or family... 
Holiday work
Full time
Immediate start
Relocation package
Flexible hours
Monday to Friday

Oak Street Health Inc

Philadelphia, PA
4 days ago
 ...scheduling and billing are completed by 360Care Full office support including a Care Coordination team handling all consents, pre-authorizations, patient scheduling, post op and IT support Field support and mentorship from Clinical Director If you are a Dentist... 
For contractors
Flexible hours
Weekend work
Afternoon shift

360care

Philadelphia, PA
1 day ago
 ...coming up with high quality ideas or improving upon existing ideas in machine learning, demonstrated by accomplishments such as first author publications or projects. Possess the ability to own and pursue a research agenda, including choosing impactful research problems... 
Full time
Part time
Local area
Flexible hours

Capital One

Philadelphia, PA
6 hours ago
 ...coming up with high quality ideas or improving upon existing ideas in machine learning, demonstrated by accomplishments such as first author publications or projects. Possess the ability to own and pursue a research agenda, including choosing impactful research problems... 
Full time
Part time
Local area
Flexible hours

Capital One

Philadelphia, PA
5 hours ago
 ...JavaScript is a plus. This position is ineligible for visa sponsorship. To be considered for this role, you must be legally authorized to work in the United States and not require sponsorship for employment now or in the future. Disclaimer: ~ This information... 
Work experience placement
Remote job
Worldwide

Comcast Corporation

Philadelphia, PA
3 days ago