Prior Authorization & Insurance Verification Pro

Auburn Community Hospital; City of Auburn (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Auburn Memorial Medical Services, PC · Auburn Obstetrics & Gynecology in Auburn, NY is seeking a non-clinical professional for a full-time day shift as a Prior Authorization Specialist. You will coordinate authorizations, verify insurance, and collect necessary information to support approvals.

Responsibilities include communicating with patients, prescribers, and office staff, ensuring documentation meets medical necessity criteria, and maintaining accurate EMR records while upholding HIPAA

Qualifications

• Insurance verification experience is preferred (1 year).
• Medical billing experience is preferred (1 year).

Responsibilities

• Assist patients with obtaining prior authorizations for meds, procedures, and referrals.
• Ensure medical necessity documentation is complete and accurate to support approvals.
• Collaborate with internal departments to streamline the authorization process.
• Review and submit forms, records, and supporting documents to insurance companies.
• Track and follow up on authorization requests.
• Document all authorization details accurately in the EMR.
• Protect patient information and HIPAA compliance.
• Coordinate referrals and external providers.
• Respond to insurance denials and submit appeals when appropriate.

Skills

Insurance verification

Medical billing

Job description

Auburn Memorial Medical Services, PC · Auburn Obstetrics & Gynecology in Auburn, NY is seeking a non-clinical professional for a full-time day shift as a Prior Authorization Specialist. You will coordinate authorizations, verify insurance, and collect necessary information to support approvals.

Responsibilities include communicating with patients, prescribers, and office staff, ensuring documentation meets medical necessity criteria, and maintaining accurate EMR records while upholding HIPAA