Prior Authorization Assistant (Clinic)
Dent Neurologic Group LLP
Summary
Ensure that prior authorizations are complete, accurate and current in order for patients to receive their medications in a timely manner that does not delay treatment.
Job description
Position Summary
Ensure that prior authorizations are complete, accurate and current in order for patients to receive their medications in a timely manner that does not delay treatment.
Responsibilities of Position
- Submit authorizations for prescription medications ordered in the employed department for all medical insurances and no-fault (if applicable).
- Review documents multiple times throughout shift to perform prior auth submission through appropriate website (i.e. Cover My Meds).
- If there is a day(s) working remote, communicate and send any prior auth requests to a nursing team member in the office to print, perform and submit via electronic fax.
- Perform training for operational teams to ensure quality goals are met.
- Communicate to payers if there is issue with prior authorization and resolve effectively and efficiently.
- Follow payor formulary guidance to submit information to insurance companies to gain approval of patient’s medication.
- Other duties as assigned and requested.
Skills & Experience Necessary
- Preferred healthcare experience; not mandatory.
- Word, Excel and EMR experience; eCW preferred.
- Strong attention to detail and problem solving.
- Good communication skills and ability to work with a team to accomplish goals.
- Self-directed, self-motivated to accomplish work.
Required Education
High School Diploma
Working Conditions
- Sedentary work – sitting majority of shift.
- Walking and standing are required only occasionally.
- Ability to sit at a computer terminal for majority of shift.
- Requires use of hands and fingers to operate computer and telephone keyboard.
- OSHA Category III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
Requirements
- High School Diploma
- Preferred healthcare experience; not mandatory
- Word, Excel and EMR experience; eCW preferred
- Strong attention to detail and problem solving
- Good communication skills and ability to work with a team to accomplish goals
- Self-directed, self-motivated to accomplish work
Benefits
- Medical, Dental & Vision Plans
- Life Insurance
- 401(k) Retirement Plan
- Critical Illness, Accident, & Legal Plans
- Wellness Program
- Learning & Development Opportunities
- Paid Time Off
- Paid Holidays
- Free Onsite Parking
Company overview
DENT Neurologic Institute, operating as Dent Neurologic Group LLP, is the largest outpatient neurology practice in the United States, founded in 1963 and headquartered in Amherst, New York. With over 100 providers across 26 sub-specialty clinics in three convenient locations, the organization treats nearly 1,300 patients daily, amounting to over 330,000 patients annually. The practice specializes in comprehensive neurological care, offering services across multiple specialty centers including Memory Disorder Center, Movement Disorder Center, Multiple Sclerosis & Neuroimmunology Center, Stroke Center, Epilepsy Center, Headache Center, and Behavioral Health services. DENT maintains a strong commitment to clinical research, overseeing more than 100 ongoing clinical trials that surpass most major hospitals in the Western New York region. The organization's philosophy centers on providing compassionate patient care with the same respect for human dignity and kindness that they would seek for their own families. With a team of 201-500 employees, DENT combines advanced neurodiagnostics, state-of-the-art technology, and valuable partnerships with specialized clinicians to deliver exceptional neurological care to the Western New York community and beyond.