Authorization Specialist

Company: Lehigh Valley Health Network
Location: Allentown
Posted on: May 28, 2023

Job Description:

Remote position with training on-site

Job Summary:
Obtains benefits and authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients.

Education - Required:

• High School Diploma/GED with specialized training in insurance, coding, billing, or similar healthcare certificate programs.
  
  Education - Preferred:
  
  • Associate's Degree
    
    Experience - Required:
    
    • 1 year in a healthcare setting with insurance verification/authorizations.
      
      Knowledge, Skills, and Abilities - Required:
      
      • Familiarity with billing procedures and payer reimbursement.
      • Knowledge of patient rights and laws relative to those rights, such as HIPAA.
      • Proficient in utilization management processes, standards, and managed care.
      • Proficient in standard medical practices and insurance benefit structures.

Keywords: Lehigh Valley Health Network, Allentown , Authorization Specialist, Other , Allentown, Pennsylvania