Mechanicsburg, Pennsylvania, United States• Facilitates all contact between healthcare provider groups, practitioners, employees, and health plan staff in assigned territory.
• Supervises and leads educational training, including but not limited to, new provider group orientations and secure provider portal education, as well as internal new hire education and trainings. • Effectively and appropriately respond to external provider an...
Camp Hill, Pennsylvania, United States• Facilitated all contact between healthcare provider groups, practitioners, employees, and health plan staff. Oversaw the relationships between the health plan and employees of over 300 providers in the Lehigh Capital and Northeast Region zones in Pennsylvania. Supervised and lead educational training, including but not limited to, new provider group orientations and secure provider portal e...
Lemoyne, Pennsylvania, United States• Responsible for the coordination of the referral process within UPMC Pinnacle Health Medical Group.
• Responsible for coordinating specialty referrals and diagnostic authorizations and testing for the UPMC Pinnacle Health sites and outside facilities.
• Pre-certifies diagnostic testing, as required by patient's insurance. Educates the patients on various policies, procedures, and benefits, ...