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PRIOR AUTHORIZATION SPECIALIST

Company: Robert Half
Location: Allentown
Posted on: April 9, 2021

Job Description:

Ref ID: 03700-0011740809Classification: Customer Service RepresentativeCompensation: DOESUMMARYOfficeTeam is currently seeking skilled candidates to fill a rewarding Prior Authorization Specialist role with one of our clients located in Allentown, PA.--In this Prior Authorization Specialist position, you will get your chance to work in the healthcare industry and an opportunity to make a difference.--Play a vital role with this Prior Authorization Specialist position as you will gain an opportunity to work with one of the top employers in the Lehigh Valley!--In this Prior Authorization Specialist role, you will be responsible for gathering and maintaining patient demographics and financial information.--This Prior Authorization Specialist will also be assisting in the creation of patient accounts and reviewing outstanding precertification requests.--The Prior Authorization Specialist will also be ensuring that authorization is being obtained and documented accurately and in a timely manner.--In this Prior Authorization Specialist role, you will be aiding in the completeness of precertification so a high level of expertise in precertification is a must!--Get your career moving in the right direction with this Prior Authorization Specialist role as this company can offer challenging but career-building experience all while providing excellent rewarding growth opportunities!--DUTIESInput patient registration information and account data in hospital systemAssist in the insurance/benefit verification processEnsure all referral and authorization requirements are completed; notate correct date of service, procedure codes and facilityExplain referral and authorization requirements to patient, family and referring physician offices as neededObtain referral and/or authorizations prior to scheduled procedure dateMaintain current and detailed knowledge of third-party requirementsUtilize office software for insurance verification/eligibilityUtilize patient estimation software to communicated patient responsibility Scan orders and referrals/authorizations into system Call the physician's' office prior to appointment for any missing documentation Make sure worklists are reviewed to assure authorizations and referrals are being obtained retrospectively where possible to minimize denialsAccurately update scheduled appointments to include referral and authorization requirements Ensure the scheduled appointments match the corresponding account registrationMaintain compliance when working with patient insurance informationAdditional clerical tasks as assignedFor immediate consideration or more information, please contact OfficeTeam at 610-882-1700 or connect with Amanda Kurtz on LinkedIn!--Job Requirements:REQUIREMENTS1+ years' experience in related Healthcare Precert/Authorization processesMust have a strong understanding of Medical TerminologyStrong Computer skills, including but not limited to Microsoft Office SuiteUnderstanding of Medical Software systems such as Epic, Navinet, Passport, etc.Excellent written and verbal communication skillsAbility to provide excellent phone etiquette and have excellent interpersonal skillsMust have the ability to work well independently and in fast-paced environment!Bilingual in Spanish a plus!OfficeTeam, a Robert Half Company, matches professionals in the administrative field with remote or on-site jobs on a temporary and temporary-to-full-time basis. Whether you're a seasoned administrative pro or starting your career, we have options for you. Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs. When you work with us, you're working with the best. has been recognized as one of FORTUNE's "Most Admired Companies" every year since 1998 and was named to Forbes' inaugural list of America's Best Temporary Staffing Firms. Questions? Call your local office at 1.888.490.4154. All applicants applying for U.S. job openings must be authorized to work in the United States. Benefits are available to temporary professionals. Visit for more information. -- 2020 OfficeTeam. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ().

Keywords: Robert Half, Allentown , PRIOR AUTHORIZATION SPECIALIST, Other , Allentown, Pennsylvania

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