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Prior Authorization Specialist

UR Thompson Health
Full-time
On-site
New York, United States
Schedule
Monday - Friday, Full time, Days

Main Function

Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests.

Provides multiple and complex details to insurance carrier by anticipating their questions when reviewing and retrieving relevant information from the electronic medical record.

Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which has direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.

May train and coordinate activities of peers or support staff.

Required Job Specific Competencies

Demonstrates the ability to work independently and exhibits flexibility in decision making and prioritizing assignments.

Demonstrates the ability to develop and maintain collaborative working relationships.

Exhibits leadership skills.

Actively guards the confidentiality of sensitive information including but not limited to the patients, staff and the health system.

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient.

Education, Experience And Qualifications

Associate's degree in Medical, Secretarial or related field and a minimum of three years of relevant experience required; or an equivalent combination of education and experience.

Medical Terminology knowledge, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records preferred.

Demonstrated customer relations skills.

Pay Range: $19.45 - $24.00

Starting Pay: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply.

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