Prior Authorization Coordinator

Prior Authorization Coordinator Amherst, NY Job Details Full-time $20 - $22 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Computer operation Insurance prior authorization Electronic health records (EHR) management Maintaining patient confidentiality Medical office experience Mid-level High school diploma or GED Clinical documentation Computer skills Patient interaction Managing patient records Medical terminology Communication skills Time management Full Job Description Company Description UBMD Internal Medicine (UBMDIM) is the academic medical practice affiliated with the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo. With 135 Primary and Specialty Care physicians supported by 187 staff members, UBMDIM operates across 16 hospital and outpatient clinic locations in the Buffalo-Niagara Falls area. As the largest practice plan in the UBMD Physicians' Group, UBMDIM integrates patient care, medical education, and research, playing a pivotal role in advancing healthcare in the region. The organization is dedicated to treating patients, teaching future healthcare professionals, and discovering innovative treatments for various diseases. Role Description This is a full-time on-site role based in the Williamsville for a Prior Authorization Coordinator. The role involves managing prior authorization requests for medical services, interacting with healthcare providers and insurance companies, and ensuring compliance with payer guidelines. The Coordinator will review patient files, submit prior authorization requests, track approvals or denials, and provide regular updates to clinical staff. Additional responsibilities include maintaining accurate documentation, addressing payment discrepancies, and serving as a liaison to streamline communication between patients, providers, and insurance organizations. Qualifications Experience with prior authorization processes, healthcare insurance requirements, and payer guidelines. Strong organizational, time management, and problem-solving skills. Proficiency with medical terminology and clinical documentation. Effective written and verbal communication skills for interacting with patients, physicians, and insurance representatives. Familiarity with electronic health records (EHR) systems and basic computer skills. Attention to detail and the ability to handle sensitive patient information with confidentiality. Previous experience in a medical office, billing, or pre-certification role is an advantage. High school diploma or equivalent required; post-secondary education in a related field is preferred.

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance About UBMD Internal Medicine UBMD Internal Medicine (UBMDIM) is an internal medicine practice based on the ongoing pursuit of academic medical knowledge and treatment. We are affiliated with the University at Buffalo's Department of Medicine, and our team of doctors are made up of 135 physicians who are dedicated to serving our patients with the most innovative and efficient treatment solutions available. Our staff of highly trained professors continues to spread the information that we have uncovered by teaching the next generation of patients and students. We also have a team of researchers who specialize in identifying new treatment options for diseases by investigating the specific causes of medical issues and attempting to target them at the source. From common medical studies for allergies, metabolism, and nutrition to research on immunology, cardiology, and much more, our treatments and academic pursuits represent the full spectrum of internal medicine.