Prior Authorization Specialist

Premier Health Partners PC; Buffalo (NY); On-site; USD 26,000 - 30,000; Full time

Benefits offered by this job

Competitive salary

Generous PTO

401(K) with 3% Employer Contribution

Employee Discounts

Job summary

Premier Health Partners, P.C. is seeking a highly organized Prior Authorization Specialist to join our Rheumatology team in Buffalo, NY.

This full-time role focuses on obtaining authorizations for medications, labs, and procedures, coordinating with providers, insurers and patients to ensure timely access to care. You will deliver courteous, accurate service, verify eligibility, arrange financial assistance, and maintain clear documentation.

Qualifications

• High school diploma required with healthcare facility experience preferred.
• Experience with medical billing, insurance verification and prior authorizations.
• Strong written and verbal communication, attention to detail and computer literacy.

Responsibilities

• Obtain prior authorizations for all medications, chemotherapy, surgery and labs for all providers.
• Verify eligibility for medications, chemotherapy, surgery and labs.
• Find and set up financial 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.
• Deliver exemplary customer service to provide a positive patient experience.

Skills

Medical billing

Insurance verification

Prior authorizations

Communication skills

Attention to detail

Education

High school diploma

Tools

EHR software

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Prior Authorization Specialist

Full Time Buffalo, NY, US

2 days ago Requisition ID: 1306

Salary Range: $19.00 To $22.00 Hourly

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.