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State University of New York Upstate Medical University
Reviews, verifies, and processes prior authorizations in the department's work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under general supervision, follows established policies and procedures and applies acquired job skills to verify insurance rejections and contact clinics to initiate and receive information to complete prior authorizations for patients. Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits as required. Educates patients and clinic staff regarding requirement for insurance plan to complete prior authorization. Answers inbound inquires related to prior authorizations and assists billing group on insurance claims. Completes outbound calls to payors and clinics to assist with prior authorizations.
High School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of education and experience.
Preferred Qualifications:Work Days:
Monday - Friday daytime hours
Message to Applicants:Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.
G3: $16.00 - $25.88
Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations.
Recruitment Office: MedBest Medical Management