Prior Authorization Assistant (Clinic)

Dent Neurologic Group LLP•Town of Amherst, NY

13d•Onsite

About The Position

Ensure that prior authorizations are complete, accurate and current in order for patients to receive their medications in a timely manner that does not delay treatment.

Requirements

Preferred healthcare experience; not mandatory
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.
High School Diploma

Responsibilities

Submit authorizations for prescription medications ordered in the employed department for all medical insurances and no-fault (if applicable).
Review documents (D) jelly bean multiple times throughout shift to perform prior auth submission through appropriate website (i.e. Cover My Meds)
If there is a day(s) working remote, communicate and send any prior auth requests to a nursing team member in the office to print, perform and submit via electronic fax.
Perform training for operational teams to ensure quality goals are met.
Communicate to payers if there is issue with prior authorization and resolve effectively and efficiently.
Follow payor formulary guidance to submit information to insurance companies to gain approval of patient’s medication.
Other duties as assigned and requested