Robert Half International PRIOR AUTHORIZATION SPECIALIST in ALLENTOWN, Pennsylvania
OfficeTeam 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!
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 or more information, please contact OfficeTeam at 610-882-1700 or connect with Amanda Kurtz on LinkedIn!
1+ years' experience in related Healthcare Precert/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!
OfficeTeam, a Robert Half Company, matches professionals in the administrative field with remote or on-site jobs on a temporary and temporary-to-full-time basis. Whether you're a seasoned administrative pro or starting your career, we have options for you.
Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs.
When you work with us, you’re working with the best. has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was named to Forbes’ inaugural list of America’s Best Temporary Staffing Firms.
Questions? Call your local office at 1.888.490.4154. All applicants applying for U.S. job openings must be authorized to work in the United States. Benefits are available to temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.