Care Access & Prior Authorization Specialist

St. Luke’s University Health Network; Allentown (Lehigh County); On-site; USD 25,000 - 39,000; Full time

Job summary

St. Luke's University Health Network in Allentown seeks an administrative specialist to handle pre-registration, prior authorizations, and insurance referrals for primary care and specialty services.

You will verify financial information, assist with precertifications, and support billing workflows in Epic, ensuring timely and accurate reimbursement.

The role requires strong customer service, independent work, and familiarity with health insurance policies; bilingual candidates are preferred.

Qualifications

• Strong customer service skills with knowledge of health insurances.
• Ability to work independently.
• Computer experience required.
• Bilingual preferred.

Responsibilities

• Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of insurance referrals for all Primary Care and Care Now departments, peer to peer evaluations, verification and validation of all financial information, and Point of Service cash collection for all services assigned to ensure proper reimbursement.
• Responsible for the financial clearance of all scheduled patients by providing accurate and timely verification of all financial information and precertification/referral for all services to ensure proper reimbursement.
• Submit prior authorizations for all STAT imaging orders for PCP and Specialty prior to date of service.
• Utilizes Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for proper documentation and billing in Epic.

Skills

Customer service

Health insurance knowledge

Data entry

Typing

Bilingual

Education

High school diploma or equivalent

Tools

Epic Systems

Job description

St. Luke's University Health Network in Allentown seeks an administrative specialist to handle pre-registration, prior authorizations, and insurance referrals for primary care and specialty services.

You will verify financial information, assist with precertifications, and support billing workflows in Epic, ensuring timely and accurate reimbursement.

The role requires strong customer service, independent work, and familiarity with health insurance policies; bilingual candidates are preferred.