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Medicine Authorizations Coordinator…
- Northwell Health (Lake Success, NY)
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**Req Number** 167787
Our client is looking to fill a Medicine Authorizations Coordinator
Hours: Monday-Friday (8am-4:30pm)
This role involves verifying patient eligibility, obtaining necessary authorizations, and maintaining accurate records to ensure compliance with insurance policies. The Authorization Clerk will collaborate closely with clinical staff and insurance providers to address authorization issues and ensure a seamless experience for patients.
Key Roles & Responsibilities
+ Review and obtain insurance authorizations ensuring compliance with payer requirements.
+ Verify patient eligibility and coverage details with insurance providers to facilitate the authorization process.
+ Communicate effectively with insurance companies and patients to resolve any authorization issues or discrepancies that arise.
+ Regularly update clinical staff on the status of pre-authorizations and document approvals or denials in the EMR system.
+ Maintain accurate records of authorizations and follow up on pending cases to ensure timely processing.
+ Stay informed of current insurance policies and guidelines to ensure compliance and optimize authorization workflows.
+ Assist with front desk duties and patient intake as needed.
+ Perform other duties as assigned to support the operational needs of the department.
Requirements
+ Excellent communication skills, both written and verbal, to effectively liaise with insurance providers and clinical staff.
+ Proficiency in electronic medical record (EMR) systems and basic computer skills.
+ Familiarity with insurance policies, guidelines, and pre-authorization requirements.
+ Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
+ Strong attention to detail and organizational skills.
+ High School Diploma
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $25-$25/hour
It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
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