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Prior Authorization Specialist

2 months ago

Buffalo, New York, United States General Physicians PC Full time
Job Title: Prior Authorization Specialist

General Physician, P.C. is seeking a skilled Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary medical treatments and services.

Key Responsibilities:
  • Obtain prior authorization for medications, imaging, and surgeries
  • Verify insurance and help patients apply for financial assistance
  • Obtain prior authorizations for all oral medications, surgery, and blood work for all providers in Cardiology
  • 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 to provide a positive patient experience across the organization
Requirements:
  • High school diploma required, two-year college degree preferred
  • Proven work experience in a healthcare facility and/or strong customer service experience preferred
  • Knowledge of insurance and medical terminology
  • Strong written and verbal communication skills with ability to utilize computer programs
What We Offer:
  • Competitive salary
  • Comprehensive benefits
  • Generous PTO
  • 401(K) with employer contribution
  • Employee discounts