Authorization Specialist- Albany, NY- FT Hybrid Remote

Employment Type : Full time

Shift : Day Shift

Description :

Authorization Specialist II - FULL TIME- HYBRID Remote

Summary

We are looking for a self-starter to join a central team obtaining surgical prior authorizations for all surgical services performed by St Peters Health Partners physicians.

Location : 425 New Scotland Avenue Albany NY

Office Hours : Monday-Friday (Hybrid remote.)

This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include (but is not limited to) consults diagnostic testing in office procedures and pharmaceuticals including off label drugs and drugs for clinical trials. The Authorization Specialists will perform all job functions in a courteous and professional manner consistent with the mission and core values of St Peters Health Partners Medical Associates.

Job Duties

• Submit and obtain authorization requests for service line.
• Maintain subject matter expertise on authorization requirements by payer and order type to ensure proper authorization obtained pre-procedure.
• Review authorization denial trends in partnership with supervisor to identify and address gap areas leading to auth denials within service line.
• Confirm appropriate insurance verification as part of auth obtainment responsibilities.
• Obtain retro authorizations when necessary.

Responsibilities

Qualifications

P ay Range : $20.20-$26.93

Pay is based on experience skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.

Required Experience :

IC

Key Skills

Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS

Experience : years

Vacancy : 1

Monthly Salary Salary : 20 - 26