Prior Authorization Specialist

Talentify; Buffalo (NY); On-site; USD 26,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

PTO

401(k)

Employee discounts (Verizon Wireless)

No nights, holidays, or weekends

Job summary

Premier Health Partners in Williamsville, NY is seeking a Prior Authorization Specialist to ensure timely access to care. You will work with providers, insurers, and patients to navigate authorizations, track expirations, and deliver excellent patient service.

This full-time, Monday-Friday role offers comprehensive benefits, PTO, and strong growth in a healthcare setting within the Rheumatology department.

Qualifications

• High school diploma required.
• Prior work experience in a healthcare facility, preferably in medical billing, insurance verification and prior authorizations.
• Understanding of medical terminology, insurance procedures, and healthcare billing procedures
• Strong written and verbal communication skills, strong attention to detail, ability to utilize computer programs

Responsibilities

• Obtain prior authorizations for all oral medications, chemotherapy, surgery and blood work for all providers in our outpatient clinics.
• Verify eligibility for oral medications, chemotherapy, surgery and blood work
• Find and set up financial assistance (copay assistance) for patients
• Fax all 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 the completion of necessary forms
• Deliver exemplary customer service in order to provide a positive patient experience across the organization

Skills

Communication skills

Attention to detail

Computer skills

Education

High school diploma

Job description

Premier Health Partners is a proud partner of Erie County Medical Center (ECMC) and is dedicated to providing high-quality patient-centered care to our community. We are seeking a highly organized and patient-focused individual to join our team as a Prior Authorization Specialist. In this role, you will be a crucial part of ensuring patients receive timely access to medical care. You will work closely with medical providers, insurance companies, and the patients to help navigate the authorization process.

Location: 30 North Union Rd Suite 101, Williamsville NY 14221
Department: Rheumatology
Shift: Full-time, Monday-Friday

Job Duties

• Obtain prior authorizations for all oral medications, chemotherapy, surgery and blood work for all providers in our outpatient clinics.
• Verify eligibility for oral medications, chemotherapy, surgery and blood work;
• Find and set up financial assistance (copay assistance) for patients;
• Fax all 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 the completion of necessary forms;
• Deliver exemplary customer service in order to provide a positive patient experience across the organization;

Benefits: We offer a competitive salary. The hiring range is between $19.00 to $22.00* per year/hour. Enjoy generous PTO, paid holidays, and great discounts!

• Work-Life Balance: no nights, holidays, or weekends. No mandated overtime!
• Comprehensive Benefits: Medical, dental, vision, and more.
• Generous PTO: Enjoy your well-deserved time off.
• 401(K) with 3% Employer Contribution: Secure your financial future.
• Employee Discounts: Exclusive deals, including Verizon Wireless.

Qualifications:

• High school diploma required
• Prior work experience in an healthcare facility, preferably in a role involving medical billing, insurance verification and prior authorizations.
• Understanding of medical terminology, insurance procedures, and healthcare billing procedures
• Strong written and verbal communication skills, strong attention to detail, ability to utilize computer programs

* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget

Premier Health Partners, P.C. is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.