Authorization Specialist

Lehigh Valley Health Network

Pennsylvania, US
**
Insurance verification
Authorization protocols
Medical necessity
** Lehigh Valley Health Network is seeking an Authorization Specialist to work fully remotely, focusing on obtaining authorizations for medical services and ensuring compliance with insurance protocols. The ideal candidate will have experience in healthcare settings, particularly in insurance verification and authorizations. **

Job Summary

  • Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
  • The Authorization Specialist obtains benefits and authorizations for various medical services and performs billing duties to ensure proper payment.
  • This role involves collaborating with physicians, communicating with insurance companies, and determining patient financial responsibility.

Matching Summary

Match Score: 75

** Lehigh Valley Health Network is seeking an Authorization Specialist to work fully remotely, focusing on obtaining authorizations for medical services and ensuring compliance with insurance protocols. The ideal candidate will have experience in healthcare settings, particularly in insurance verification and authorizations. **

Skills & Requirements

Must-have

  • insurance verification
  • authorization protocols
  • medical necessity
  • payer contracts
  • HIPAA compliance

Nice-to-have

  • teamwork and compassion
  • forward-thinking organization
  • nursing excellence
  • patient safety focus

Key Requirements

  • High School Diploma/GED
  • 1 year healthcare insurance verification/authorizations
  • Familiarity with billing procedures
  • Knowledge of patient rights and HIPAA
  • Proficient in utilization management
  • Proficient in medical practices and insurance benefits

Work Rights

Not specified

Tailored Resume

Cover Letter