Prior Authorization Representative

We are seeking a Prior Authorization Representative to join our growing team at Roswell Park Care Network, a recognized leader in oncology and specialty care. The ideal candidate will have prior customer service experience, high school diploma or equivalent, and six months of clinical or administrative healthcare experience.

Requirements

• Answers calls from physician offices and patients using exemplary customer service skills
• Obtain insurance verification, authorizations/pre-certifications
• Scheduling of diagnostic imaging, injections, surgical procedures
• Accurately enter required information into computer databases
• Reviews structured data matched it against specified medical terms and diagnoses or procedure codes and follow established procedures for authorizing request or referring request for further review
• Call back providers with precertification numbers as needed and file completed precertification requests as per established procedures
• Follow-up for discharge dates as needed
• Print and send form letters correspondence as needed
• Maintain patient confidentiality as defined by state, federal and hospital regulations

Benefits

• Monday-Friday schedule
• Medical, dental, and vision coverage
• Employer funded Health Reimbursement Account (HRA)
• 401(k) with company match
• Generous vacation and sick time
• Company-paid life insurance
• 11 paid Holidays