Healthcare Authorization Specialist: Verify Benefits

Valley Health Partners; Allentown (Lehigh County); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

403b Retirement Plan

Paid Time Off

Employee Assistance Program

Tuition Reimbursement

Job summary

Valley Health Partners is seeking an Authorization Specialist at their Center of Hope in Allentown, PA. The role involves obtaining necessary benefits and authorizations for various medical services.

Candidates should have at least a high school diploma, with specialized training in insurance or billing preferred. The position requires strong communication with insurance companies and collaboration with healthcare professionals to ensure medical necessity and compliance with policies.

Qualifications

• 1 year in a healthcare setting with insurance verification/authorizations is required.
• Specialized training in insurance, coding, billing, or similar healthcare certificate programs.

Responsibilities

• Collaborates with physicians to ascertain appropriate authorization.
• Performs medical necessity checks for procedures.
• Communicates with insurance companies for verification and approval.
• Verifies clinical information and insurance authorizations.
• Maintains compliance with benchmark data.

Skills

Billing procedures familiarity

Knowledge of patient rights

Utilization management proficiency

Standard medical practices knowledge

Education

High School Diploma/GED

Associate’s degree preferred

Job description

Valley Health Partners is seeking an Authorization Specialist at their Center of Hope in Allentown, PA. The role involves obtaining necessary benefits and authorizations for various medical services.

Candidates should have at least a high school diploma, with specialized training in insurance or billing preferred. The position requires strong communication with insurance companies and collaboration with healthcare professionals to ensure medical necessity and compliance with policies.