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As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910335 Ortho Prior Authorization

Work Shift:

Range:

UR URCB 205 H

Compensation Range:

$20.31 - $27.42

_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._

Responsibilities:

Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains new employees. Resolves problems and issues. Monitors quality assurance of daily operations. Provides coaching and training support.

- Serves as point of contact to answer questions and solve problems for difficult and unusual authorizations and referrals. Assists in problem identification, quantification and resolution.

- Provides training to Prior Authorization and Referral Coordinator Associates and Specialists on all aspects of referral work, including electronic medical system support, patient record review, appointment and/or ancillary test scheduling, procedural scheduling, knowledge of provider sub-specialties and collection of additional information from provider or electronic medical system to submit to insurance carrier when needed.

- Performs quality assurance monitoring for activities in area of immediate responsibility and other areas that affect it utilizing specific criteria. Measures quality, quantity and timeliness of tasks performed. Prepares related logs and management reports.

- Implements and monitors departmental/office specific procedures, to work in conjunction with enterprise established processes, for enhancing levels of service and quality. Develops departmental/office guidelines for prioritizing and assigning work activities, evaluates effectiveness and modifies processes as necessary.

- Collaborates with other Prior Authorization and Referral Coordinator Leads across programs to establish best practice standards. Disseminates those standards and implements and monitors the adherence to those standards.

- Coordinates daily assignments of Prior Authorization and Referral Coordinator Associates and Specialists.

- Participates in recruiting, hiring and promotion decisions. Completes performance evaluations. Monitors staff performance and counsel's staff regarding performance issues. Manages and approves staff requests for time off and overtime. Adjusts schedule and duties as necessary.

- Acts as resource for information. Attends educational programs for department at the direction of supervisor. Educates other staff on materials.

Other duties as assigned

Schedule: 7 AM-5 PM

Qualifications:

Required Experience:

- High School Diploma required

- 2 years of relevant experience, including 1 year of demonstrated leadership required

- or equivalent combination of education and experience required.

Preferred Experience:

- Medical terminology

- Surgical/appointment scheduling software, such as Flowcast

- Electronic medical records

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Classes). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates for all persons consistent with our values and based on applicable law.

Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.

Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we commit to diversity, equity, and inclusion and united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.