-
SilverTech Dutchtown, United StatesOver Nexen Tire Europe s.r.o: · Met meer dan 20 locaties wereldwijd en een internationaal team van bijna medewerkers zijn we een van de toonaangevende wereldwijde bandenfabrikanten voor personenauto's, SUV's en lichte vrachtwagens. Innovatieve technologieën en producten, samen me ...
-
Fitness Center Assistant
3 days ago
Kirkland Village Bethlehem, United States$16 - $18 / Hour · **Part Time**: 9am - 3pm; PRN Available; No weekends No holidays · The Fitness Center Assistant is responsible for the implementation of planned resident activities and encourage resident participation. Planned activities should focus on improving the physical ...
-
Clinical Educator/adon
1 week ago
Holy Family Senior Living, Inc. Bethlehem, United States**Clinical Educator/ADON** · In this challenging and rewarding position, the primary purpose of the Clinical Educator/ADON is to designs, develop, plan, implement, and evaluate orientation and continuing education for all clinical levels of staff related to skilled nursing, short ...
-
Life Enrichment Assistant
5 days ago
The Vero at Bethlehem Bethlehem, United States**Legend Senior Living is proud to be recognized as a Certified Great Places to Work **5 years in a row**** · The Vero at Bethlehem is proud to be part of the Legend Senior Living family and we are Hiring A career with us means quality training, plenty of growth and development o ...
-
Life Enrichment Assistant
5 days ago
The Vero at Bethlehem Bethlehem, United States**Legend Senior Living is proud to be recognized as a Certified Great Places to Work **5 years in a row**** · The Vero at Bethlehem is proud to be part of the Legend Senior Living family and we are Hiring A career with us means quality training, plenty of growth and development o ...
-
Clinical Manager- Adult Nursing
2 days ago
BAYADA Home Health Care Bethlehem, United States Full timeBAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Nurse Manager/Home Care RN for our Bethlehem, PA home care office. This office provides best in class care to adult clients throughout Leigh and Northampton areas. · We believe that our clients and ...
-
Aging Care Manager 3
1 week ago
County of Northampton Bethlehem, United States**Application Requirements**: · **BE SURE YOUR APPLICATION REFLECTS YOUR ENTIRE WORK HISTORY AS YOUR RESUME IS NOT REVIEWED TO QUALIFY YOU** · Equal Employment Opportunities - It is the policy of Northampton County to provide equal employment opportunities (EEO) to all persons re ...
-
Accounts Payable Clerk
18 hours ago
Scandinavian Tobacco Group Bethlehem, United StatesMay 18, 2024- Bethlehem, US, 18015**Accounts Payable Clerk**: · **JOB DESCRIPTION TEMPLATE** · **Company Overview** · While our roots are in direct marketing, we have a strong eCommerce and growing brick and mortar retail presence. We have three (3) Retail locations in Pennsylvan ...
-
The Bach Choir of Bethlehem Bethlehem, United States**Job Title: Director of Education and Community Engagement** · **Organization: The Bach Choir of Bethlehem** · **Location: Bethlehem, PA Position Type: Full-Time, Exempt** · The Bach Choir of Bethlehem is seeking a Director of Education and Community Engagement to coordinate the ...
-
Housekeeper
4 days ago
Bethlehem North Nursing & Rehab Bethlehem, United States**Bethlehem North Nursing& Rehab Full Time Housekeeper Position Available** · Benefits · $17.00/hour · - Variable compensation plans · - Tuition, Travel, and Wireless Service Discounts · - Employee Assistance Program to support mental health · - Employee Foundation to assist fina ...
-
Clerical Assistant 2 Northampton Cao
3 days ago
Commonwealth of PA Northampton County, PA, United States**THE POSITION**: · Are you looking for a fulfilling job in public service where you can make a positive impact on your community? Consider joining the Northampton County Assistance Office as a Clerical Assistant 2 in the Department of Human Services. Your administrative skills w ...
-
Janitor
18 hours ago
Newly Weds Foods- Bethlehem, PA Bethlehem, United States Full time**Job Summary**: · This is a third shift position. · Sunday start time: 9:00PM · Monday - Thursday start time: 10:00PM · Performs functions directed towards successfully and efficiently meeting quality goals for customer orders by maintaining a clean facility within office areas, ...
-
Full Time Child Care Floater/assistant
5 days ago
Nazareth Area Academy Bethlehem, United States Full timeNazareth Area Academy Early Learning Center provides the highest quality of care and learning for children ages six weeks to five years. A family owned business since 1987, a Keystone STARS facility while maintaining a clean and modern facility ensure this is the childcare center ...
-
Routing Specialist
5 days ago
Dead River Company Northampton, United States**_Salary estimates posted by Indeed do not reflect our current salary ranges._** · **Join Our Team - **_Find Your Future_** · At Dead River Company, we deliver energy and peace of mind to customers throughout Northern New England and a commitment to our core values of integrity, ...
-
Med Tech
3 days ago
Atria Senior Living - Bethlehem Bethlehem, United StatesOverview: · We create communities where employees thrive in their work, helping our residents thrive in their homes. · We strive to enhance the lives and exceed the expectations of those we serve every day. To do this, we cultivate the diverse talents of our team members in order ...
-
Rehabilitation Aide M-f, 8am-4:30pm
3 days ago
Universal Institute of Rehabiliatation Bethlehem, United StatesDirect Care, Home Health Aides, CNA's looking for Monday-Friday 8:00am-4:00pm, as well as a slight change of pace We are seeking a dedicated, personable, health care professional able to work in unison with the Day Program and Therapists. This position allows flexibility to parti ...
-
Recreation Specialist I for Autism Center
4 days ago
Pathlight Group Northampton, United States**_Join us at Pathlight Group's Autism Center as a full-time Recreations Specialist to Create & Plan Recreation and Social opportunities for families and individuals to connect with each other and the communities they live in by creating, planning, updating and coordinating event ...
-
Youth Services Technician
1 week ago
Bethlehem Area Public Library Bethlehem, United StatesThe Bethlehem Area Public Library has an opening for a part-time Youth Services Technician. This position is approximately 26 hours per week and pay is $17.37 per hour. PA Child Abuse, PA Criminal, and FBI Fingerprint clearances are required. Working one night per week and every ...
-
Maintenance Supervisor
1 day ago
Apollo Metals LTD Bethlehem, United StatesApollo Metals, LTC. · **Maintenance Supervisor** · **Job description-** · Work with maintenance group as a technical resource for the improvement of electrical and mechanical equipment and systems in the plan. Responsible for the direction and coordination of all maintenance repa ...
-
Controller Commercial Finance
1 week ago
Piramal Enterprises Bethlehem, United States**Key Roles/Responsibilities**: · Commercial Analysis & Pricing: · - Act as a trusted advisor to business leaders, providing financial insights and recommendations to support decision-making and drive profitable growth. · - Establish, maintain, and update cost and pricing benchma ...
Planning Assistant - Bethlehem, United States - St. Luke's Hospital
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.
The Utilization Review Assistant is responsible for taking the data provided to their department and using it to communicate necessary information to both the Utilization Review Nurses and insurance companies. Making sure that all necessary information is communicated to the appropriate party in a timely fashion is imperative so that the patients are able to receive the proper level of care and to help ensure coverage for care by the insurance company for services rendered to patients.
JOB DUTIES AND RESPONSIBILITIES:
Organizes and prioritizes daily work and assigned tasks by assessing new, current, and discharged patients in area(s) of responsibility accurately and within specified time limits.
Establish and maintain positive and effective communication with other departments to provide needed information on accounts to ensure daily caseload is worked successfully.
Establish and maintain positive and effective communication with Insurance Nurses to ensure understanding of all individual patient cases.
Manages telephones, emails, faxes and handles inquiries appropriately.
Return phone calls to providers and follow up with requests in a timely fashion.
Scan determinations of all inpatient and outpatient requests.
Request, process and track high volume of inpatient and outpatient authorization requests for observation and inpatient admissions from insurance companies via phone, fax or insurance online portal for services.
Fax or upload notifications of admissions, initial and continued stay reviews to the insurance company via EPIC or online portals.
Actively monitors and completes multiple workqueues.
Detailed system documentation of admission authorization in the hospital account record.
Supply insurance companies with discharge dates and dispositions.
Requests retrospective authorizations on discharged patients as assigned.
Maintains an active role in denial prevention. Proactively intervenes with payers to prevent inpatient denials.
Communicates any necessary information to payers to help existing denials.
Keep leadership advised of status of current patients, in regard to utilization activities through timely documentation and participate in performance improvement activities.
Provide support to Network Director Utilization Review, Utilization Review Nurses and the Supervisor to Utilization Review Assistants.
Acts as a liaison with the Registration, Finance Department, Business Office, Physician groups, and all internal/external sources regarding authorizations, denials, and inquiries relative to utilization review.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to 5 hours per day, 1 hours at a time. Standing for up to 2 hours per day, up to 30 minutes at a time. Walking for up to 30 minutes a day, up to 10 minutes at a time. Frequently uses fingers for typing and writing. Occasionally uses fingers, hands for turning/twisting. Rarely uses the hand for firm grasping. Frequently lifts, carries, pushes and pulls objects up to 10 pounds, occasionally pulls items up to 25 pounds. Frequently stoops, bends, occasionally crouches and reaches above shoulder level. Frequently kneels and squats. Must have the ability to touch as related to telephone and computer keyboard. Must have the ability to hear as it relates to normal conversations and high and low frequencies in person and on the telephone. Has ability for seeing as relates to general vision, peripheral vision and vision monotony. Able to speak clearly as related to communication on the telephone and in person.
EDUCATION:
H.S. Diploma.
Associate degree in the business/secretarial field preferred.
TRAINING AND EXPERIENCE:
A minimum of two (2) year's relevant experience in the healthcare field such as, registration, insurance verification or similar positions required.
Medical terminology experience required.
Pre-authorization and pre-certification experience preferred.
Demonstrates comprehensive knowledge of computer skills in a variety of software programs, i.e. Microsoft Word, Excel, and Power Point.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's
