St. Luke's University Health Network is seeking a Practice Prior Authorization and Referral Specialist to coordinate prior authorizations and referrals for patients needing specialty care, medications, and diagnostic procedures.
The specialist will handle insurance verification, obtain necessary pre-authorizations, schedule referrals, and notify patients to support timely coordination of care. The role also includes documenting authorization approvals in the electronic health record and assisting with denial follow-up.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required
- Prior authorization experience preferred
- 1 to 2 years of experience in medical billing, a medical office, or insurance preferred
- Working knowledge of medical office procedures
- Detailed understanding of ICD-10 and CPT codes
- Knowledge of regulatory standards and compliance requirements
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago