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Referral Pre-Authorization Specialist - Lime Spring
Penn State Health
Application
Details
Posted: 01-Oct-25
Location: Lancaster, Pennsylvania
Categories:
Admin / Clerical
Internal Number: 83713
Penn State Health - Community Medical Group
Location: US:PA: Lancaster Work Type: Full Time FTE: 1.00 Shift: Varied Hours: Monday-Friday 8:00a - 4:30p Recruiter Contact: Monica Echeverri at mecheverri@pennstatehealth.psu.edu
SUMMARY OF POSITION:
Responsible for providing patient registration, CPT/ICD 9 codes and insurance verification. Registration responsibilities include completing the appropriate registration for the services the patient will be receiving, maintaining encounter integrity by selecting the appropriate billing number to produce the visit, verifying patient demographic and insurance information and working closely with the provider/clinic staff to collect specific clinical information required for obtaining authorizations. Insurance Verification includes confirming eligibility and obtaining benefit specifics, documentation of specifics, and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials.
MINIMUM QUALIFICATION(S):
High School Diploma or equivalent
WHY PENN STATE HEALTH?
Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:
Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.
WHY PENN STATE HEALTH MEDICAL GROUP?
#WeAre committed to providing patient- and family-centered care to all patients ?and skillfully handle needs at every level of complexity utilizing our shared governance model of care. The Medical Group is constructed of both primary care and multi-specialty offices that are striving to make a difference in each patient?s healthcare routine. Working alongside seasoned professionals, you will be spearheading the mission of Penn State Health to provide the highest quality care to all patients within their local community! Working with us means being part of a team that strives to provide excellent patient care every day, but also one that works together to set and achieve goals, build on the Penn State Health legacy and create new possibilities for the future.
YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health?s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.
At Penn State Health, our mission is to enhance the quality of life and serve our community through improved health, the education of health professionals, and the discovery of knowledge. For us, service excellence is not only for our patients but also our employees. It means valuing each and every employee.