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

Company Description

UBMD Internal Medicine (UBMDIM) is the academic medical practice affiliated with the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo. With 135 Primary and Specialty Care physicians supported by 187 staff members, UBMDIM operates across 16 hospital and outpatient clinic locations in the Buffalo-Niagara Falls area. As the largest practice plan in the UBMD Physicians' Group, UBMDIM integrates patient care, medical education, and research, playing a pivotal role in advancing healthcare in the region. The organization is dedicated to treating patients, teaching future healthcare professionals, and discovering innovative treatments for various diseases.
Role Description

This is a full-time on-site role based in Williamsville, NY for a Prior Authorization Coordinator. The role involves managing prior authorization requests for medical services, interacting with healthcare providers and insurance companies, and ensuring compliance with payer guidelines. The Coordinator will review patient files, submit prior authorization requests, track approvals or denials, and provide regular updates to clinical staff. Additional responsibilities include maintaining accurate documentation, addressing payment discrepancies, and serving as a liaison to streamline communication between patients, providers, and insurance organizations.
Qualifications

1. Experience with prior authorization processes, healthcare insurance requirements, and payer guidelines.

2. Strong organizational, time management, and problem-solving skills.

3. Proficiency with medical terminology and clinical documentation.

4. Effective written and verbal communication skills for interacting with patients, physicians, and insurance representatives.

5. Familiarity with electronic health records (EHR) systems and basic computer skills.

6. Attention to detail and the ability to handle sensitive patient information with confidentiality.

7. Previous experience in a medical office, billing, or pre-certification role is an advantage.

8. High school diploma or equivalent required; post-secondary education in a related field is preferred.

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance