Job description

Authorization Specialist - Stony Brook Neurosurgery, UFPC

Location: Stony Brook, NY

Schedule: Full Time

Days/Hours: Monday through Friday - 8:30am to 5:00pm

SUMMARY: To provide general administrative and clinical office support. Acts as a liaison between patients and physicians.

Job Responsibilities:

• Access the referrals and authorizations via the internet.
• Update and inquire as to those insurances that are not on the internet.
• Obtain authorizations for CAT scans and other radiological procedures.
• Validate patient insurance.
• Contact patients concerning referrals or down payment for self pays.
• Inform self pays of UH financial aid applications and Medicaid applications.
• Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers, concerning referrals or issues with obtaining referrals.
• Ensuring the approvals for the authorizations are in the EMR and CERNER systems.
• Ensure all data are accurately documented in the EMR and scanned into CERNER.
• All other duties as assigned.

Required Qualifications:

• High School diploma/GED.
• One (1) year of administrative experience in a medical office setting.
• Prior pre-authorization or obtaining referrals process experience.
• Strong organizational and communication skills (both verbal and written).
• Excellent typing skills and friendly telephone etiquette.
• Microsoft Office proficiency.

Preferred Qualifications:

• EMR experience.
• Experience with patient scheduling.
• Experience with managed care companies.
• Bilingual speaking.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.

In accordance with the New York State Department of Health (DOH) order that all hospitals and nursing homes “continuously require all personnel to be fully vaccinated against COVID-19,” Candidates who are not already vaccinated must obtain the first dose of the vaccine within three (3) calendar days of acceptance of conditional job offer and must obtain any subsequent doses in accordance with the vaccine protocol. The order also includes those who may be affiliated with or interact with employees of a hospital or nursing home. The order allows for limited medical exemptions with reasonable accommodations, consistent with applicable law.

CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.

Job Type: Full-time

Pay: $20.16 - $25.17 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• authorizations/referrals: 3 years (Required)

Work Location: In person

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