Prior Authorizations Coordinator

PRIOR AUTHORIZATIONS/REFERRALS COORDINATOR

Location:

Patchogue Summary:

Prior authorizations coordinator works in the office providing care co-ordination to our patients by responding to prior authorizations for diagnostic tests and medications in a timely manner, answering patient calls regarding authorizations, and making outgoing phone calls to insurance payors, pharmacies, and patients regarding prior authorizations.

RESPONSIBILITIES

Obtain prior authorization for various diagnostic tests and medications Generate appeals for denied authorizations Submit insurance referrals for patients seeing specialists Assist patients with medication assistance applications Provide other administrative support as requested by Site Managers, Providers, and/or Administrative Managers Answers patient phone calls, e-mail online enquiries, make outgoing phone calls to follow up on patient queries and concerns Must be willing to work in the clinic sites Adhere to HIPAA guidelines & policies.

QUALIFICATIONS A

High School Degree or GED Ability to multitask and work in a fast-paced environment. Must have at least two years' experience in prior authorizations Must be able to submit at least 50 prior authorizations in an 8 hour work day Must have experience with payer portals such as Availity, UHC portal, Emblem portal, Evicore, etc. Must have familiarity with ICD 10 codes and CPT codes Must have experience with submitting insurance referrals Familiarity with Patient Assistance Programs is a plus Passionate about customer service and patient satisfaction Flexible with full-time work schedule Strong interpersonal, communication and organizational skills Should be receptive for feedback, eager and willing to learn new tasks High attention to detail Experience about e-clinical works software a plus.

BENEFITS A

friendly and fast paced environment working with passionate people Outstanding growth opportunities Paid Time Off Medical, Dental and Vision Insurance• Short/Long Term Disability, HSA and Life Insurance Opportunity for Overtime hours Cash bonus and recognition to reward successful teams Coffee, teas and healthy snacks •

Full Time Employees Only Pay:

$25.00 - $30.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person