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Urgent! Prior Authorization Coordinator Job Opening In Syracuse – Now Hiring State University of New York Upstate Medical University
Job Summary:
Review and evaluate outpatient take-home medications to assure the appropriateness and medical necessity of medication use based on established criteria.
Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations.
Ensure completion of activities that maximize revenue capture for high-cost medications.
Conduct prospective prior authorization services to expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance paperwork issues.
Improve patient service experience and Upstate Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics.
Observe and understand prescribing trends within Upstate University Hospital clinics to identify areas for improved specialty pharmacy contracting.
Develop an effective working relationship with external entities.
Refer appropriate patients to the Medication Assistance Program (MAP).
Identify self-pay patients eligible for enrollment into the MAP and coordinate enrollment with the MAP staff.
Work location may vary to any Upstate pharmacy location within Onondaga County based on operational need.
Minimum Qualifications:
Four (4) years of experience in a similar prior authorization role required.
Will also consider candidates with an Associates Degree and 2 years experience in a similar prior authorization role.
Excellent written/oral communication, interpersonal, organizational, conflict resolution, and computer skills required.
Preferred Qualifications:
Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred.
Experience with healthcare insurance prior authorization/coding and performing insurance carrier/managed care review preferred.
National Pharmacy Technician Certification preferred.
LPN preferred.
Work Days:
Rotating schedule between 8am-6pm.
Weekends and holidays based on operational need
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Unlock Your Prior Authorization Potential: Insight & Career Growth Guide
Real-time Prior Authorization Jobs Trends in Syracuse, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Prior Authorization in Syracuse, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 731 jobs in United States and 11 jobs in Syracuse. This comprehensive analysis highlights market share and opportunities for professionals in Prior Authorization roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! State University of New York Upstate Medical University is currently hiring and seeking a Prior Authorization Coordinator to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: Prior Authorization Coordinator Jobs Syracuse.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at State University of New York Upstate Medical University adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a Prior Authorization Coordinator Jobs United States varies, but the pay scale is rated "Standard" in Syracuse. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for Prior Authorization Coordinator typically include Information And Record Clerks and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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