Healthcare Prior Authorization Navigator

ADP, Inc.; Buffalo (NY); On-site; USD 26,000 - 30,000; Full time

Benefits offered by this job

Work-life balance

Comprehensive benefits

Generous PTO

401(k) with employer contribution

Employee discounts

Job summary

Premier Health Partners, P.C. is seeking a highly organized Prior Authorization Specialist in Buffalo, NY. This full-time role focuses on obtaining and verifying prior authorizations, coordinating with providers, insurers, and patients to streamline access to care.

The position emphasizes accurate medical terminology, insurance procedures, and exceptional customer service to support timely treatment and patient satisfaction.

Qualifications

• High school diploma required.
• Experience in a healthcare facility with medical billing, insurance verification and prior authorizations preferred.
• Strong understanding of medical terminology, insurance procedures, and healthcare billing.
• Strong written and verbal communication skills and ability to use computer programs.

Responsibilities

• Obtain prior authorizations for oral medications, chemotherapy, surgery and blood work for outpatient clinics.
• Verify eligibility for oral medications, chemotherapy, surgery and blood work.
• Find and set up financial assistance (copay assistance) for patients.
• Fax infusion orders to the infusion center.
• Act as the point person if there is an issue with a prior authorization or a code for the hospital.
• Track prior authorizations for expiration dates.
• Manage incoming document bins and assist with forms completion.
• Deliver exemplary customer service to ensure a positive patient experience.

Skills

Communication

Attention to detail

Medical terminology

Insurance procedures

Education

High School Diploma

Job description

Premier Health Partners, P.C. is seeking a highly organized Prior Authorization Specialist in Buffalo, NY. This full-time role focuses on obtaining and verifying prior authorizations, coordinating with providers, insurers, and patients to streamline access to care.

The position emphasizes accurate medical terminology, insurance procedures, and exceptional customer service to support timely treatment and patient satisfaction.