Authorization Specialist job vacancy in Lehigh Valley Health Network (Scranton, PA)

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Company name : Lehigh Valley Health Network
Location : Scranton, PA
Position : Authorization Specialist

Description :
Job Summary:
Obtains authorizations for surgical procedures, diagnostic testing, medications, outgoing referrals, and other services as part of daily operations. Determines the authorization protocols for each health plan and performs billing duties to ensure proper and timely payment is received from insurance carriers and patients.

Education – Required:

Associate’s Degree or
High School Diploma/GED with specialized training in insurance, coding, billing, or similar healthcare certificate programs.

Experience – Required:

3 years in a healthcare setting with insurance verification/authorizations.

Knowledge, Skills, and Abilities – Required:

Familiarity with billing procedures and payer reimbursement.
Knowledge of patient rights and laws relative to those rights, such as HIPAA.
Proficient in utilization management processes, standards, and managed care.
Proficient in standard medical practices and insurance benefit structures.

Location: Lehigh Valley Health Network ยท LVPG-L Admin Steamtown
Schedule: Full Time 40 hours, Day Shift, 8:00am-4:30pm

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