Practice Prior Authorization Specialist - Ophthalmology, Allentown/easton

St. Luke's University Health Network

Allentown, USA
Prior authorization process
Insurance verification and eligibility
Electronic health record (ehr) documentation
The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for specialty care, medications, and diagnostic procedures

Job Summary

  • The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for specialty care, medications, and diagnostic procedures.
  • The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of patient care.
  • St. Luke's is proud of the skills, experience and compassion of its employees.

Matching Summary

The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for specialty care, medications, and diagnostic procedures.

Skills & Requirements

Must-have

  • Prior authorization process
  • Insurance verification and eligibility
  • Electronic Health Record (EHR) documentation
  • Coordination with internal departments
  • Responding to inquiries from stakeholders

Nice-to-have

  • Compassionate employee care
  • Unwavering commitment to excellence
  • Improving access to care

Key Requirements

  • High school diploma or equivalent
  • One to two years of experience
  • Working knowledge of ICD 10 and CPT codes
  • Knowledge of regulatory standards

Work Rights

Not specified

Tailored Resume

Cover Letter