What are the responsibilities and job description for the Prior Authorization Representative position at Roswell Park Care Network (RPCI Oncology, PC)?
Full-time Description
We are seeking a Prior Authorization Representative to join our GROWING team!
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.
Comprehensive Benefits
The Prior Authorization Representative position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to one on-site day per week!
Responsibilities
Education/Experience
We are seeking a Prior Authorization Representative to join our GROWING team!
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.
Comprehensive Benefits
- Monday-Friday schedule
- Medical, dental, and vision coverage
- Employer funded Health Reimbursement Account (HRA)
- 401(k) with company match
- Generous vacation and sick time
- Company-paid life insurance
- 11 paid Holidays
The Prior Authorization Representative position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to one on-site day per week!
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
Education/Experience
- 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
Salary : $20 - $22