Prior Authorization Assistant (Clinic)
$34,320,000–$39,000,000 year
On-siteAmherst, New York, United States
Amherst, New York, United StatesOn-siteFull Time$34,320,000–$39,000,000 yearHigh School Or EquivalentMedium
Full TimeHigh School Or EquivalentMedium
Job Summary
Submit prior authorizations for prescription medications across all medical insurances and no-fault plans. Review documents multiple times throughout the shift to perform submissions via appropriate websites like Cover My Meds. If working remotely, communicate and send requests to a nursing team member for electronic fax submission. Resolve payer issues effectively and efficiently while following formulary guidance to gain medication approvals. Perform training for operational teams to ensure quality goals are met. Complete other duties as assigned.
Required Qualifications
- High School Diploma
- Word, Excel and EMR experience
- eCW preferred
- Strong attention to detail and problem solving
- Good communication skills and ability to work with a team to accomplish goals
- Self-directed, self-motivated to accomplish work
- Monday-Friday, 8:00am - 4:30pm
- 40 hours/week
Desired Qualifications
- Preferred healthcare experience; not mandatory
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