Prior Authorization Coordinator in Amherst, New York at UBMD Internal Medicine

Description
Are you a detail-oriented professional with a strong understanding of insurance guidelines and prior authorization workflows? UBMD Internal Medicine (UBMDIM) is looking for a dedicated Prior Authorization Coordinator to join our team in Williamsville.
In this essential role, you will be the critical bridge between our clinical team, insurance payers, and patients to ensure timely access to care. If you want a stable Monday through Friday day shift with absolutely no weekends and no holidays, this is the perfect place to build your career while enjoying a great work-life balance!

Benefits

We value our team's hard work and offer a highly competitive, top-tier benefits package:
Generous PTO: Earn up to 4 weeks of Paid Time Off in your very first year!
401(k) Matching: 100% company match up to 4% (eligible after 1 year of service).
Health and Wellness: Industry-leading medical, dental, and vision insurance.
Insurance Buy-Out Options: Get extra compensation if you choose to opt out of our health coverage.
Additional Perks: Employee Assistance Program (EAP) and Life Insurance.

About UBMD Internal Medicine

As the largest practice plan within UBMD Physicians' Group, we are proudly affiliated with the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo. Supported by 187 staff members across 16 hospital and outpatient clinic locations in the Buffalo-Niagara Falls area, our 135 Primary and Specialty Care physicians drive the region's healthcare forward. We seamlessly integrate patient care, medical education, and research to treat patients, train future clinicians, and discover innovative medical treatments.

Job Responsibilities

As our Prior Authorization Coordinator, you will manage authorization requests for medical services, ensure compliance with payer guidelines, and keep our clinic workflows moving smoothly.
Authorization Management: Review patient files, prepare and submit prior authorization requests, and strictly track approvals and denials.
Insurance Coordination: Interact closely with healthcare providers and insurance companies, navigating complex payer guidelines to secure coverage.
Clinical Liaison: Serve as a core contact point to streamline communication between patients, physicians, and insurance organizations, providing regular status updates to clinical staff.
Financial and Record Tracking: Address payment discrepancies, maintain meticulous documentation, and handle all sensitive patient information with absolute confidentiality.

Qualifications

• High school diploma or equivalent is required; post-secondary education in a related field is preferred.
Hands-on experience navigating prior authorization processes, healthcare insurance requirements, and payer guidelines.
Strong proficiency with medical terminology and interpreting clinical documentation.
Exceptional written and verbal communication skills for professional phone and email interactions.
High comfort level using Electronic Health Record (EHR) systems and basic computer applications.
Top-tier organizational, time-management, problem-solving skills, and sharp attention to detail.
Previous experience in a medical office, medical billing, or pre-certification role is a major advantage.

Schedule

• Day shift
Monday to Friday
No weekends
No holidays

Additional Information

• Work Location: One location (Williamsville, NY)
Pre-Employment Screening: Please note that any offer of employment is contingent upon the successful completion of a background check and drug screen.