Authorization Specialist

Company: Lehigh Valley Health Network
Location: Allentown
Posted on: January 12, 2021

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