Care Access & Authorization Coordinator

Westchester Medical Center; Town of Mount Pleasant (NY); On-site; USD 28,000 - 41,000; Full time

Job summary

Westchester Medical Center in New York is seeking an Authorization Specialist to handle complex clerical tasks for verifying insurance information and obtaining authorization for hospital procedures, tests, and office diagnostics. The role focuses on timely processing and preventing denials while maintaining patient confidentiality.

The position requires 1–3 years in healthcare and a high school diploma or equivalent, with prior pre-authorization experience preferred.

Qualifications

• 1–3 years of experience in the health care field.
• Previous experience with the pre-authorization process preferred.
• A high school diploma or equivalency required.

Responsibilities

• Serve as liaison between physicians, office staff, patients and insurance carriers regarding the authorization process.
• Collect and review patient demographic and insurance data for accuracy during authorization.
• Collect and submit documentation and diagnosis needed for authorizations.
• Notify providers of peer-to-peer reviews for denials and arrange them as needed.
• Provide daily follow-up with insurance carriers to update the status of authorization requests.
• Adhere to policy to prevent denials or patient delays.
• Perform eligibility checks on insurance payer websites.
• Review daily processed authorizations and outstanding items.
• Log deliveries of medications from Specialty pharmacies and notify relevant staff.

Education

High school diploma or equivalent

Job description

Westchester Medical Center in New York is seeking an Authorization Specialist to handle complex clerical tasks for verifying insurance information and obtaining authorization for hospital procedures, tests, and office diagnostics. The role focuses on timely processing and preventing denials while maintaining patient confidentiality.

The position requires 1–3 years in healthcare and a high school diploma or equivalent, with prior pre-authorization experience preferred.