Prior Authorization & Referral Specialist

St. Luke’s University Health Network; Allentown (Lehigh County); On-site; USD 22,000 - 30,000; Full time

Job summary

St. Luke's University Health Network is seeking a capable professional to manage pre-registration, prior authorizations, and referrals across Primary Care and Specialty services. You will verify patient data, coordinate with payers, and support accurate billing in a fast-paced hospital setting.

Strong customer service, independence, and proficiency with Epic are required to ensure timely reimbursements and smooth patient flow. This role emphasizes accuracy and collaboration with clinical staff.

Qualifications

• High school graduate or equivalent required.
• Minimum three years in a healthcare office/department setting preferred.
• Strong customer service skills and ability to work independently are essential.
• Computer experience and ability to use electronic health record workflows required.

Responsibilities

• Handle accurate and timely pre-registration for St. Luke's Primary Care and Specialty practices.
• Submit prior authorizations and insurance referrals for specified departments.
• Verify and validate patient financial information and ensure proper reimbursement.
• Notify providers and scheduling teams of authorization requirements and denials as needed.

Skills

Customer service

Independent work

Computer proficiency

Education

High school diploma or equivalent

Tools

Epic

Epic Work Queues

Job description

St. Luke's University Health Network is seeking a capable professional to manage pre-registration, prior authorizations, and referrals across Primary Care and Specialty services. You will verify patient data, coordinate with payers, and support accurate billing in a fast-paced hospital setting.

Strong customer service, independence, and proficiency with Epic are required to ensure timely reimbursements and smooth patient flow. This role emphasizes accuracy and collaboration with clinical staff.