Prior Authorization Specialist: Fast-Track Patient Care Access

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 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.