Prior Authorization Specialist

Prior Authorization Specialist

Pay Range: $17.90 $20.00*

General Physician, P.C. is one of WNY's largest and most respected multi-specialty medical groups! We are committed to providing comprehensive, high-quality patient-centered care to improve the overall quality of the lives of our patients.

Currently, we are seeking a Prior Authorization Specialist for our Cardiology office located in Buffalo, NY! This is a full-time position, scheduled Monday Friday, and includes Free Parking!

No nights, weekends, or holidays!

We offer our Prior Authorization Specialist:

Employees are benefit-eligible on the first of the month following their start date

This includes:

• Medical, dental, vision & much more
• Generous PTO and paid holidays
• Competitive salary
• 401(K) 3% employer contribution
• Verizon Wireless discount
• Uniforms provided

Essential Duties of a Prior Authorization Specialist:

The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance and help patients apply for financial assistance.

• Obtain prior authorizations for all oral medications, surgery, and blood work for all providers in Cardiology.
• Verify eligibility for oral medications, chemotherapy, surgery, and blood work; Find and set up financial assistance (copay assistance) for patients
• Fax all infusion orders to the infusion center
• Act as the point person if there is an issue with a prior authorization or a code for the hospital
• Track prior authorizations for expiration dates
• Manage incoming document bins and assist with the completion of necessary forms
• Deliver exemplary customer service to provide a positive patient experience across the organization
• Perform other duties assigned by management.

Minimum Qualifications of a Prior Authorization Specialist:

• High school diploma required, two-year college degree preferred
• Proven work experience in a healthcare facility and/or strong customer service experience preferred
• Knowledge of insurance and medical terminology
• Strong written and verbal communication skills with ability to utilize computer programs

General Physician P.C. is proud to be an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. * The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.