Top 22 Prior authorization specialist Jobs in Bethlehem 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
4d
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
Registration Specialist
Lehigh Valley Health Network —Bethlehem, PA
- Full-time
- Spanish
- Computer literacy
- Medical office experience
MEDICAL OFFICE ASSISTANT
OAA Orthopaedic Specialists —Bethlehem, PA
- Spanish
- High school diploma or GED
- Perioperative Care
Quick Apply
Registration Specialist - Emergency Department
Lehigh Valley Health Network —Bethlehem, PA
- Part-time
- Spanish
- Computer literacy
- Medical office experience
FRONT DESK COORDINATOR I
OAA Orthopaedic Specialists —Allentown, PA
- Full-time
- Computer literacy
- High school diploma or GED
- Mentoring
Quick Apply
1d
SURGERY SCHEDULER I
OAA Orthopaedic Specialists —Allentown, PA
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
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
9d

Related jobs to explore

Based on your search for prior authorization specialist

Practice Prior Authorization Specialist, ENT and Allergy
St. Luke's University Health Network —Bethlehem, PA
Consistent use of hands and fingers for typing, telephone, data entry, etc. Responds to written as well as telephone inquires from patients, insurances,…
4d
Registration Specialist
Lehigh Valley Health Network —Bethlehem, PA
Associate’s Degree Health care or related field. In accordance with, and where applicable, in addition to federal, state and local employment regulations,…

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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.
Quick Apply
1d
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…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in bethlehem pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near bethlehem pa

Surgery Scheduler jobs in Allentown, PA

Referral Specialist jobs in Bethlehem, PA

Registration Specialist jobs in Allentown, PA

Medical Office Assistant jobs in Bethlehem, PA

Registration Specialist jobs in Bethlehem, PA

Prior Authorization Specialist jobs in Bethlehem, PA

Front Desk Coordinator jobs in West Lafayette, IN

Front Desk Coordinator jobs in Suffern, NY

Front Desk Coordinator jobs in Carrollton, TX

Front Desk Coordinator jobs in Decatur, GA

Entry Level Remote Help Desk jobs in Texas

It Help Desk jobs in Hawaii

Remote Help Desk jobs in San Diego, CA

Surgery Scheduler jobs in Everett, WA

Surgery Scheduler jobs in Georgetown, TX

Plastic Surgery Nurse jobs in Virginia Beach, VA

Hospital For Special Surgery jobs in New York, NY

Remote Scheduler jobs in Texas

Surgery Scheduler jobs in Fresno, CA

Surgery Center jobs in Houston, TX

Practice Prior Authorization Specialist, ENT and Allergy

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

Apply Now

Job Details

Full-time
4 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

prior authorization specialist jobs in bethlehem pa

Practice Prior Authorization Specialist, ENT and Allergy

Practice Prior Auth and Referral Specialist - Sleep Medicine

Registration Specialist

MEDICAL OFFICE ASSISTANT

Registration Specialist - Emergency Department

FRONT DESK COORDINATOR I

SURGERY SCHEDULER I

Medical Billing Coordinator/Receptionist

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in bethlehem pa

Explore jobs in more locations

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

Job Seeker Tools

Employer Tools

Browse

Stay Connected