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Prior Authorization Specialist

5 months ago

Buffalo, United States Grider Support Services LLC Full time
Job DescriptionJob Description

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.

Pay Range: $17.90 - $20.00*

Position Type: Full-time, First Shift

Benefits include:

  • 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.

Essential Duties of a Prior Authorization Specialist:

  • 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;

Minimum 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

Grider Support Services, LLC 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.