Lehigh Valley Health Network (LVHN)
Authorization Specialist
Allentown, PA
Sponsorship not specifiedDetected 2 days ago
Patient Care
About the role
- Imagine a career at one of the nation's most advanced health networks.
- Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.
- LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years.
Responsibilities
- Maintains compliance with benchmark data regarding accounts registered versus scheduled procedures.
Requirements
- Knowledge of patient rights and laws relative to those rights, such as HIPAA.
Nice to have
- Associate's Degree
- Physical Demands
- Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
- Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position.
- It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs.
- Other responsibilities may be assigned when circumstances require.
- All personnel actions and programs will adhere to this policy.
- https://youtu.be/GD67a9hIXUY
Compensation
- Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.
Benefits
- Collaborates with physicians and provider office staff in ascertaining the appropriate authorization based on medical necessity and the treatment plan provided.
- Performs a medical necessity check to determine if procedure and diagnosis support medical necessity.
- Communicates direct/indirect with insurance companies to obtain insurance verification, benefits and precertification for approval.
- Lehigh Valley Health Network is an
Equal opportunity
- equal opportunity employer.
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This listing is sourced directly from Lehigh Valley Health Network (LVHN)'s careers page and normalized into a canonical job model.