UPMC Altoona Regional Health Services is hiring a full-time Managed Care Specialist. This role will work Monday through Friday 7:30 am to 4:00 pm. This position is responsible for obtain insurance authorizations for imaging testing and procedures for patients – speaking to insurance companies & patients regarding determinations – obtaining certain insurance referrals for patients to see specialists. **Responsibilities:** + Fax requests and letters to provider or facility performing test/procedure. + Understands roster management and is able to assist with it as assigned + Takes incoming calls and relays messages appropriately. + Insures timely flow of information regarding managed care contacts and/or patients to specialist, primary care physicians, staff and patients. + Gives patients complete information regarding any test or procedures being performed, including any preparation requirements. + Schedules diagnostic testing or procedures outside of for patients. + Pre-certifies patient services and obtains necessary approval of specialties, hospital admissions, emergency treatment, out of office testing, rehabilitation, DME, and any other necessary service. + Applies principles of specific managed care product to each task to insure contractual compliance. + Updates patient chart with scheduled appointment date and time, prep, prints instructions if any. + Informs HIS Department if any information needs to be sent to consulting physician office. + Works with manager to maintain files, coordinates patient care as it relates to quality assurance and utilization review. + Responds to documents and orders from physicians regarding the ordering of tests, procedures and appointment with specialist per physician orders. + Keeps current with managed care products and how changes may affect. + Graduate of an accredited Medical Secretarial school, accredited Medical Administrative assistant program, accredited Medical Assistant program or LPN program (valid state license) or one year vocational technical school; minimum six months related experience and/or training; or equivalent combination of education and experience. + Medical terminology required. **Licensure, Certifications, and Clearances:** **UPMC is an Equal Opportunity Employer/Disability/Veteran**