Prior Authorization Specialist

1 week ago


Newburgh, New York, United States Premier Medical Group Full time
Job Title: Prior Authorization Specialist - Cardiology

Job Summary:
We are seeking a highly organized and detail-oriented Prior Authorization Specialist to join our Cardiology team. The successful candidate will be responsible for obtaining prior authorizations for medications, nuclear and exercise stress testing, CTA procedures, and cardiology imaging. This role requires strong communication and problem-solving skills, as well as the ability to work effectively with insurance companies and healthcare providers.

Key Responsibilities:
• Contact insurance companies to obtain prior authorizations for patients' procedures
• Obtain authorizations in a timely manner, with a goal of completing within 72 hours of receipt of request
• Document all correspondence with insurance companies with high accuracy
• Collaborate with clinical staff and providers to gather additional information as needed
• Coordinate patients' procedures for both office and outside facilities
• Complete surgical booking sheets and required documentation for procedures
• Obtain patients' insurance eligibility and benefits
• Provide excellent customer service to clinical staff, providers, and patients

Requirements:
• Minimum of a High School diploma; Associate degree preferred
• 3 years relevant healthcare experience and/or training
• Experience with obtaining authorizations
• Strong organizational skills and attention to detail
• Ability to navigate through the healthcare system and EMR systems
• Strong verbal and written communication skills

What We Offer:
• Competitive salary and benefits package
• Opportunity to work with a dynamic and growing healthcare organization
• Collaborative and supportive work environment

About Us:
Premier Medical Group is a leading healthcare provider dedicated to delivering high-quality patient care. We are committed to fostering a culture of excellence, innovation, and teamwork.

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