Authorization Specialist
Company: Lehigh Valley Health Network
Location: Allentown
Posted on: January 12, 2021
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Job Description:
Job Summary: Responsible for gathering and maintaining patient
demographic and financial information when necessary. Review
outstanding Pre-cert requests and ensure authorization is obtained
and documented accurately and timely. Collaborates with physicians,
provider office staff, in ascertaining the appropriate
authorization based on medical necessity and the treatment plan
provided. Verify/obtain additional clinical information and
insurance authorizations/referrals. Communicates direct/indirect
with insurance companies to obtain insurance verification and
precertification for approval.Minimum Requirements: High School
diploma or equivalent3-5 years experience in healthcare setting
with insurance verification/authorizations.Must be computer
literate.Preferred Qualifications: Associates degree preferred or
High school plus additional specialized training in insurance,
coding, billing or similiar heathcare certificate programsPrevious
insurance experience and knowledge of managed care, Medicaid and
third party payors.Epic. Navinet. PassportAbility to work
independently;excellent verbal and written communication
skills;detail-oriented;ability to set priorities;Bi-lingual in
English and Spanish is a plusLicensure and Certifications: NA
Keywords: Lehigh Valley Health Network, Allentown , Authorization Specialist, Other , Allentown, Pennsylvania
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