Prior Authorization Representative

Full-time DescriptionWe are seeking a Prior Authorization Representative to join our GROWING team!Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment.Comprehensive BenefitsMonday-Friday scheduleMedical, dental, and vision coverageEmployer funded Health Reimbursement Account (HRA)401(k) with company matchGenerous vacation and sick timeCompany-paid life insurance11 paid HolidaysAs the Prior Authorization Representative you will be responsible for providing accurate and complete data for precertification requests, oral medications, and procedures, while delivering excellent customer service.The Prior Authorization Representative position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to one on-site day per week!ResponsibilitiesAnswers calls from physician offices and patients using exemplary customer service skillsObtain insurance verification, authorizations/pre-certificationsScheduling of diagnostic imaging, injections, surgical proceduresAccurately enter required information (non-clinical and structured clinical data) into computer databasesReviews 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 reviewCall back providers with precertification numbers as needed and file completed precertification requests as per established proceduresFollow-up for discharge dates as neededPrint and send form letters correspondence as neededMaintain patient confidentiality as defined by state, federal and hospital regulationsRequirementsEducation/ExperienceHigh School diploma or G.E.D. and the equivalent of six (6) months of full-time RPCI Oncology, PC clinical OR Administrative health care experienceMust have prior customer service experience in an office preferably with patients Must have experience working in Windows and with MS Office softwareSalary Description $20.00-$21.50/hour