Prior Authorization Coordinator

1 day ago


Geneva, New York, United States Ashe Memorial Hospital Full time
Job Summary:

The Prior Authorization Coordinator will be responsible for obtaining and validating prior authorization for scheduled services as dictated by payer guidelines prior to patient appointment times.

Key Responsibilities:
  1. Utilize work lists to contact appropriate utilization management companies or insurance payers to request authorization where possible
  2. Send timely requests to referring physicians for authorization numbers where not possible
  3. Communicate authorization cases denied for medical necessity or requiring peer-to-peer review to the referring physician for resolution

This role requires excellent communication and organizational skills, with a strong attention to detail.

We offer a comprehensive benefits package, including health, dental, and vision insurance, as well as a 401(k) retirement plan.



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