Prior Authorization Representative
About The Position
Come and join our growing organization as a Prior Authorization Representative! 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. Why Join Roswell Park Care Network? We offer an outstanding benefits package designed to support your professional growth and work-life balance: Work-Life Balance: Monday–Friday schedule — no nights or weekends Comprehensive Benefits: Medical, dental, and vision coverage Retirement Savings: 401(k) with company match Paid Time Off: Generous vacation and sick time Insurance Coverage: Company-paid life insurance, with options for Long-Term Disability, Critical Illness, and Accident coverage Hybrid Schedule: One on-site day per week after on-site training is completed Paid Holidays: 11 recognized holidays You will be responsible for providing accurate and complete data input for precertification requests, oral medications and procedures and for providing excellent customer service.
Requirements
- High School diploma or G.E.D. and the equivalent of six (6) months of full-time RPCI Oncology, PC clinical OR Administrative health care experience
- Must have prior customer service experience in an office preferably with patients
- Must have experience working in Windows and with MS Office software
Responsibilities
- Answers calls from physician offices and patients using exemplary customer service skills
- Obtain insurance verification, authorizations/pre-certifications
- Scheduling of diagnostic imaging, injections, surgical procedures
- Accurately enter required information (non-clinical and structured clinical data) into computer databases
- Reviews 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 review
- Call back providers with precertification numbers as needed and file completed precertification requests as per established procedures
- Follow-up for discharge dates as needed
- Print and send form letters correspondence as needed
- Maintain patient confidentiality as defined by state, federal and hospital regulations
Benefits
- Medical, dental, and vision coverage
- 401(k) with company match
- Generous vacation and sick time
- Company-paid life insurance, with options for Long-Term Disability, Critical Illness, and Accident coverage
- 11 recognized holidays
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
