PRIOR AUTHORIZATION SPECIALIST at MARIAN DAVID M D P C Kew Gardens, NY

MARIAN DAVID M D P C; New York (NY); On-site; USD 55,000 - 80,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Opportunity for advancement

Paid time off

Profit sharing

Job summary

Healing Strides Counseling in New York, NY seeks a Prior Authorization Specialist to verify insurance coverage and obtain authorizations for cardiology services. The role requires understanding of copayments, deductibles, coinsurance, and payer hierarchies, with strong communication to patients and providers.

The position offers competitive benefits, above-market pay, and opportunities for advancement within a large practice. Onsite collaboration with care teams is expected.

Qualifications

• Experience with insurance verification of commercial and HMO plans; understanding copayment, deductible, coinsurance, primary/secondary payor, referral.
• Experience obtaining prior authorizations for various exams via Evicore, AIM, Healthcare Partners, or directly from insurers.
• Ability to communicate professionally and efficiently on the phone and in person.

Skills

Insurance verification

Prior authorization

Communication skills

Job description

Benefits

• Competitive salary
• Health insurance
• Opportunity for advancement
• Paid time off
• Profit sharing

Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements:

Requirements

• proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of technical medical terminology (e.g. copayment, deductible, coinsurance, primary/ secondary payor, referral),
• proven experience with obtaining prior authorizations for various exams through Evicore, AIM, Healthcare Partners websites, as well as directly from insurance companies via phone,
• ability to communicate professionally and efficiently on the phone and in person.

Health benefits and above market rates are offered for the right candidate(s).