Practice Prior Auth and Referral Specialist - Sleep Medicine
St. Luke's University Health Network · Bethlehem, Pennsylvania, US
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St.
Job description
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Position will include contacting patients with test results, triaging phone calls, entering orders, scheduling appointments. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral process for patients being referred for specialty care, medications, and diagnostic procedures. Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of patient care. JOB DUTIES AND RESPONSIBILITIES: Receive request for patient requiring specialty care through the electronic health record (EHR), dir...