- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience. + Previous Medical Assistant experience.… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- St. Luke's University Health Network (Allentown, PA)
- …and pharmacies as necessary to address refill requests. + Initiates and completes prior authorization requests as necessary using standardized workflows and ... regardless of a patient's ability to pay for health care. The Rx Specialist will address patient medication refill requests and all associated authorizations using… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... between the providers and the patients. They are responsible for scheduling specialist and imaging appointments for Star Community Health patients. Collaborates with… more