Authorization and Eligibility Specialist
3 days ago
COMHAR, Inc. is seeking a highly skilled Service Authorization Technician to join our team in Philadelphia. As a key member of our Intensive Behavioral Health Services (IBHS) program, you will be responsible for admitting clients by gathering and recording provider, client, and insurance information. Your primary responsibility will be ensuring that billing authorizations are uploaded from CBH and correctly inputted into EVOLV.
About the Role:
This role reports to the Office Manager of Children's Services. The Service Authorization Tech oversees preauthorization and referrals process for the IBHS program. Key duties include improving the proficiency of receiving and correcting authorizations for services, processing client admissions, tracking discharges, and uploading/downloading CBH authorizations. You will also develop and monitor authorization reports with the Office Manager and ensure a responsive system for authorization of services and payment of claims.
Responsibilities:
* Downloading and uploading of CBH authorizations
* Processing of referrals
* Processing invoices
* Ensuring client eligibility
* E-mail assigned staff and case managers about their clients 'evaluation appointments
* Identifying alternative sites needed for expansion of services
* Discussing RFPs with Division Director of Children Services
* Coordinating medical records storage
* Overseeing department training needs
Requirements:
To be successful in this role, you should have a high school diploma or GED, 2 years' experience in an office setting, proficiency with Microsoft Office software, understanding of basic accounting, and personnel management. Experience with billing and insurance, as well as knowledge of EHR systems, is also essential.
What We Offer:
We offer a competitive salary of $37,440.00 per year ($18.00/HR), a dynamic work environment, and opportunities for growth and development.
-
Nursing Authorization Specialist
3 days ago
Philadelphia, Pennsylvania, United States Temple University Hospital Full timeTemple University Hospital is seeking a skilled Nursing Authorization Specialist to join our team.About the RoleThis position plays a vital role in ensuring efficient and effective authorization processes for patients undergoing treatment at Temple University Hospital. As a key member of the Pre-Certification Department, you will serve as the primary...
-
Service Authorization Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States COMHAR, Inc. Full timeAbout COMHAR, Inc.COMHAR, Inc. is a not-for-profit community-based health and human service organization founded in 1975. Our mission is to provide high-quality services to members of our community.Job SummaryWe are seeking an experienced Service Authorization Technician to join our team in the Philadelphia area. The successful candidate will be responsible...
-
Childcare Eligibility Specialist
1 week ago
Philadelphia, Pennsylvania, United States PHMC Full timeJob Summary:The Childcare Eligibility Specialist plays a pivotal role in promoting the Early Learning Resource Center (ELRC) as a vital resource and referral entity. This position collaborates closely with the Family Services team to facilitate community planning, support partnerships, and activities with early childhood education providers and other human...
-
Philadelphia, Pennsylvania, United States Temple Health Full timePrecertification and Authorization PositionWe're seeking a highly skilled Medical Claims Specialist to join our team at Temple Health! In this role, you will play a vital part in ensuring timely and accurate payment for medical services. Your expertise will help confirm the financial/insurance information obtained during registration, guaranteeing compliance...
-
Authorization Technician Position
3 days ago
Philadelphia, Pennsylvania, United States COMHAR, Inc. Full timeAbout COMHAR, Inc.COMHAR, Inc. is a not-for-profit community-based health and human service organization dedicated to providing high-quality services to members of our community.Job OverviewThis role is responsible for admitting clients, gathering and recording provider, client, and insurance information, and overseeing preauthorization and referrals process...
-
Medical Necessity Authorization Expert
4 weeks ago
Philadelphia, Pennsylvania, United States Nextus Billing Solutions Full timeAbout the RoleWe are seeking an experienced Utilization Review Senior Specialist to join our team at Nextus Billing Solutions. This individual will be responsible for conducting thorough reviews of medical records, preparing documentation, and communicating with insurance carriers to ensure seamless authorization of medical services.A strong understanding of...
-
Housing Security and Protection Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Philadelphia Housing Authority Full timeHousing Security and Protection SpecialistWe are seeking a highly skilled and dedicated Housing Security and Protection Specialist to join our team at the Philadelphia Housing Authority. As a key member of our public safety department, you will be responsible for protecting life and property, preserving peace and good order in the community, and providing...
-
Behavioral Health Specialist
5 days ago
Philadelphia, Pennsylvania, United States Community Behavioral Health. Full timeJob DescriptionThe Community Behavioral Health (CBH) Clinical Care Manager – Neurodevelopmental Services is a crucial role that involves utilization management, population management, cross-system consultation, provider management, and treatment quality monitoring.Key ResponsibilitiesConduct utilization review activities, including interagency meetings,...
-
Philadelphia, Pennsylvania, United States BluePearl Full timeWelcome to BluePearlWe are a dynamic and compassionate team of veterinarians and support staff dedicated to delivering exceptional patient care and exceeding client expectations. Our team members share a common goal: to enrich lives through remarkable care for pets.Estimated Salary: $130,000 - $200,000 per yearPosition OverviewWe are seeking a talented...
-
Orthopedic Assistant
4 days ago
Philadelphia, Pennsylvania, United States The Center for Orthopedic and Research E Full timeJob Title: Orthopedic Assistant - X-Ray SpecialistWe are seeking a skilled and detail-oriented X-Ray Technologist to join our team at The Center for Orthopedic and Research Excellence.About the RoleThis is a dynamic position that requires a strong work ethic, excellent communication skills, and the ability to multitask in a fast-paced environment. As an...
-
Senior Nursing Care Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States IntelyCare Full timeDiscover a rewarding career as a Senior Nursing Care Specialist with IntelyCare in Philadelphia, PA. Enjoy competitive pay, flexible scheduling, and a supportive team environment.Competitive PayAs a Senior Nursing Care Specialist, you'll have the opportunity to earn up to $41 per hour, making it an attractive option for those looking for a fulfilling career...
-
Healthcare Professional
4 weeks ago
Philadelphia, Pennsylvania, United States Optigy Full timeAbout Our RoleWe are seeking a highly skilled and compassionate Primary Care Specialist to join our team at Optigy. As a key member of our healthcare team, you will play a vital role in delivering personalized primary care to older adults on Medicare.Our Mission:To provide high-quality, patient-centered care that addresses the unique needs of our patients.To...
-
Insurance Eligibility Specialist
4 days ago
Philadelphia, Pennsylvania, United States Easy Recruiter Full timeAbout the RoleJob Description:We are seeking an experienced Data Entry Coordinator to join our team at Easy Recruiter. In this role, you will be responsible for entering new insurance holder information into our database, verifying and correcting group, member, and agent data, and preparing and modifying documents as required.Duties and...
-
Clinical Care Manager
4 weeks ago
Philadelphia, Pennsylvania, United States Community Behavioral Health. Full timeAbout the JobWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a key member of our staff, you will be responsible for providing exceptional care and support to individuals with Autism spectrum and other neurodevelopmental disorders.Job SummaryThe successful candidate will work collaboratively with...
-
Clinical Utilization Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Temple Health Full timeJob Summary: Temple Health is seeking a skilled Clinical Utilization Specialist to join our team. This dynamic role involves serving as the primary clinical resource in the Pre-certification Department, handling complex authorization issues.About Us: Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that...
-
Sales Growth Specialist
1 week ago
Philadelphia, Pennsylvania, United States Care and Help Home Care Full timeAbout the Opportunity: As a Sales Growth Specialist at Care and Help Home Care, you will have the chance to drive business growth and revenue by promoting our services to healthcare professionals, referral sources, and potential clients. This role requires a strong ability to build and maintain relationships, conduct thorough assessments, and guide clients...
-
Senior Environmental Project Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Brown and Caldwell Full timeAbout the RoleAs a Senior Environmental Project Specialist at Brown and Caldwell, you will play a crucial role in delivering exceptional quality environmental solutions to municipalities, private industry, and government agencies. With 52 offices and 1,800 professionals across North America and the Pacific, our firm has been creating leading-edge...
-
Family Medicine Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Oak Street Health Full timeAbout the RoleWe are seeking an experienced Family Medicine Specialist to join our team at Oak Street Health in Philadelphia, PA. As a Family Medicine Specialist, you will be responsible for providing high-quality primary care to our patients, working collaboratively with our multidisciplinary team to ensure seamless care coordination and exceptional patient...
-
Protection Specialist
1 week ago
Philadelphia, Pennsylvania, United States Platinum Rose Investments LLC Full timeJob ResponsibilitiesWe are looking for Protection Specialists who can provide top-notch security services to our clients. Your primary responsibility will be to patrol the premises regularly to maintain order and establish presence.You will also be responsible for monitoring and authorizing the entrance of vehicles or people in/around the property, removing...
-
Cybersecurity Specialist
1 week ago
Philadelphia, Pennsylvania, United States ISHPI Information Technology Full timeOverview:Ishpi Information Technologies, Inc. (DBA ISHPI) is a leading provider of technical solutions for government and business organizations. As a member of our team, you will work with a collaborative group focused on delivering innovative business solutions using emerging technologies.Job Description:The Cybersecurity Specialist will provide support to...