Top 31 Authorization specialist Jobs in Allentown, Pa

Practice Prior Authorization Specialist, ENT and Allergy
St. Luke's University Health Network —Bethlehem, PA
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
5d
Registration Specialist
Lehigh Valley Health Network —Allentown, PA
- Full-time
- Spanish
- Computer literacy
- Medical office experience
4d
Revenue Cycle Operational Improvement Specialist
St. Luke's University Health Network —Allentown, PA
- Full-time
- Hybrid work
- Medical office experience
- Public speaking
- Mid-level
Registration Specialist - Emergency Department
Lehigh Valley Health Network —Allentown, PA
- Full-time
- Spanish
- Computer literacy
- Medical office experience
Practice Prior Auth and Referral Specialist - Sleep Medicine
St. Luke's University Health Network —Bethlehem, PA
- Full-time
- Mid-level
- High school diploma or GED
- Typing
FRONT DESK COORDINATOR I
OAA Orthopaedic Specialists —Allentown, PA
- Full-time
- Computer literacy
- High school diploma or GED
- Mentoring
Quick Apply
2d
Compliance Specialist, Health Information Management (HIM)
HNL Lab Medicine —Allentown, PA
- Full-time
- Computer literacy
- HIPAA
- Mid-level
Ophthalmology Call Service Specialist
Everett and Hurite Ophthalmic Association —Pennsylvania
- $15 - $17 an hour
- Part-time
- Remote
- Customer service
- US work authorization
- In-person
- Health insurance
- Dental insurance
Quick Apply
1d
SURGERY SCHEDULER I
OAA Orthopaedic Specialists —Allentown, PA
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
Medical Front Office - Patient Service Specialist
NovaCare Rehabilitation —Allentown, PA
- $18 - $19 an hour
- Evening shift
- Physical & Rehabilitation Medicine
- High school diploma or GED
- Clinic
MEDICAL OFFICE ASSISTANT
OAA Orthopaedic Specialists —Bethlehem, PA
- Spanish
- High school diploma or GED
- Perioperative Care
Quick Apply
Sr. Client Service Specialist
Cold Chain Technologies, LLC. —Bethlehem, PA
- $26 - $27 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Client Service Specialist
Transitions Wealth Management, LLC —Emmaus, PA
- From $19.75 an hour
- Part-time
- Microsoft Word
- Microsoft Excel
- Research
Quick Apply
9d
Medical Billing Coordinator/Receptionist
Bucks Vein & Body, LLC —Quakertown, PA
- $20 - $25 an hour
- Full-time
- Background check
- Private practice
- Spanish
- Health insurance
- Dental insurance
Quick Apply
10d
Billing and Benefit Specialist
NEW VITAE INC —Limeport, PA
- Ability to walk for extended periods
- Writing skills
- HIPAA
Quick Apply
Medical Assistant 2 (Full-Time)
US Foot & Ankle Specialists —Souderton, PA
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply

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Patient Access Representative (Per Diem)
St. Luke's University Health Network —Allentown, PA
Must obtain medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed…
OP Patient Access Representative (Full Time, Days)
St. Luke's University Health Network —Allentown, PA
Must obtain medical license Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results are routed…
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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
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Practice Prior Authorization Specialist, ENT and Allergy

St. Luke's University Health Network -
Bethlehem, PA

Apply Now

Job Details

Full-time
5 days ago

Qualifications

High school diploma or GED
Typing

Full Job Description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for specialty care, medications, and diagnostic procedures. Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of patient care.

JOB DUTIES AND RESPONSIBILITIES:

Receive request for patient requiring specialty care through the electronic health record (EHR), direct order by provider communication, phone, and/or fax.
Ensure patient demographic as well as insurance information are most accurate.
Reviews patient insurance information and eligibility / verification to obtain prior authorization for specialty care and/or services.
Obtain prior authorization from insurance companies prior to services being ordered and/or rendered.
Documents in EHR prior authorization approval to ensure proper reimbursement.
Works in collaboration with other supporting services / entities, central scheduling, and pre-encounters department.
Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.
Review and follow up on authorization and/or claim denials.
Notify ordering provider of a prior authorization denials and if peer to peer need to be scheduled.
O ther duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephone, data entry, etc. Occasional twisting and turning. Uses upper extremities to life and carry up to 15 pounds. Stoops, bends, and reaches above shoulder level to retrieve needed materials. Hearing as it relates to normal conversation. Seeing as it relates to general vision.

EDUCATION:

High school diploma or equivalent required. Prior authorization experience preferred.

TRAINING AND EXPERIENCE:

One to two years of experience in medical billing, a medical office or insurances preferred. Working knowledge of medical office procedures as well as detailed understanding of ICD 10 and CPT codes. Knowledge of regulatory standards and compliance requirements.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

Apply Now

Refine Your Search

authorization specialist jobs in allentown, pa

Practice Prior Authorization Specialist, ENT and Allergy

Registration Specialist

Revenue Cycle Operational Improvement Specialist

Registration Specialist - Emergency Department

Practice Prior Auth and Referral Specialist - Sleep Medicine

FRONT DESK COORDINATOR I

Compliance Specialist, Health Information Management (HIM)

Ophthalmology Call Service Specialist

SURGERY SCHEDULER I

Medical Front Office - Patient Service Specialist

MEDICAL OFFICE ASSISTANT

Sr. Client Service Specialist

Client Service Specialist

Medical Billing Coordinator/Receptionist

Billing and Benefit Specialist

Medical Assistant 2 (Full-Time)

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St. Luke's University Health Network is an Equal Opportunity Employer.

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