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PRIOR AUTHORIZATION SPECIALIST

Company: Robert Half
Location: Allentown
Posted on: January 16, 2022

Job Description:

Description

SUMMARY

Robert Half 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!

DUTIES

Input patient registration information and account data in hospital system

Assist in the insurance/benefit verification process

Ensure all referral and authorization requirements are completed; notate correct date of service, procedure codes and facility

Explain referral and authorization requirements to patient, family and referring physician offices as needed

Obtain referral and/or authorizations prior to scheduled procedure date

Maintain current and detailed knowledge of third-party requirements

Utilize office software for insurance verification/eligibility

Utilize 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 denials

Accurately update scheduled appointments to include referral and authorization requirements

Ensure the scheduled appointments match the corresponding account registration

Maintain compliance when working with patient insurance information

Additional clerical tasks as assigned

For immediate consideration, send resumes to Amanda.Kurtz@RobertHalf com and please put Prior Authorization Specialist in the subject line. If you'd like to learn more about other opportunities we may have, please call Robert Half Administrative and Customer Support Lehigh Valley at 610.882.1700 or connect with our Talent Specialist, Amanda Kurtz on LinkedIn.

Requirements

REQUIREMENTS

1+ years' experience in related Healthcare Precertification/Authorization processes

Must have a strong understanding of Medical Terminology

Strong Computer skills, including but not limited to Microsoft Office Suite

Understanding of Medical Software systems such as Epic, Navinet, Passport, etc.

Excellent written and verbal communication skills

Ability to provide excellent phone etiquette and have excellent interpersonal skills

Must have the ability to work well independently and in fast-paced environment!

Bilingual in Spanish a plus!

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.

Questions? Call your local office at 1.888.490.4154. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

2021 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/terms-of-use) .

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

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