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#25-0627

Buffalo, NY, USA

Job Description

Prior Authorization Specialist

Join General Physician, P.C. - Your Gateway to a Fulfilling Healthcare Career!

Are you a Prior Authorization Specialist looking to take your career to the next level? General Physician, P.C., one of Western New York's most esteemed multi-specialty medical groups, is excited to welcome dedicated LPNs to our growing family. With a competitive salary, comprehensive benefits, and a strong commitment to work-life balance, this is an opportunity you won't want to miss.

Position Type: Full-time, Day Shift

Why General Physician, P.C.?

+ Work-Life Balance: Say goodbye to working nights, holidays, and weekends. No mandated overtime!

+ Comprehensive Benefits: Medical, dental, vision, and more.

+ Generous PTO: Enjoy your well-deserved time off.

+ 401(K) with 3% Employer Contribution: Secure your financial future.

+ Employee Discounts: Exclusive deals, including Verizon Wireless.

What you will be doing :

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 Oncology

+ 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.

The Education and Experience you need :

+ 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* 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.