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Assistant Prior Authorization Jobs in Rochester, NY

Referral Specialist

Rochester, NY · On-site

$20 - $28.80/hr

Verify eligibility and obtain prior authorizations/pre-certifications as needed. * Route/fax medical documentation electronically and retrieve reports via RHIO. * Track referral status and assist ...

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Assistant Prior Authorization information

What are some common challenges faced by an Assistant Prior Authorization, and how can they be effectively managed?

Assistant Prior Authorization professionals often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely communication between healthcare providers, patients, and insurance companies. Staying organized and maintaining up-to-date knowledge of payer policies are essential for success. Using electronic health records efficiently and fostering strong teamwork with clinical staff can help streamline the approval process and reduce delays, ultimately improving patient care.

What are Assistant Prior Authorization jobs?

Assistant Prior Authorization jobs involve supporting healthcare providers and insurance companies by helping to obtain approval for specific medical procedures, treatments, or medications. These assistants review patient information, coordinate with physicians and insurance representatives, and ensure all necessary documentation is submitted for approval. The role is crucial in helping patients receive timely care by navigating insurance requirements and reducing delays. Strong organizational and communication skills are essential in this position.

What is the difference between Assistant Prior Authorization vs Medical Billing Specialist?

AspectAssistant Prior AuthorizationMedical Billing Specialist
Required CredentialsHigh school diploma, certification in healthcare administration or relatedHigh school diploma, certification in medical billing or coding
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesObtaining prior approvals from insurance for procedures/servicesProcessing and submitting medical claims, coding, and billing
Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare billing and revenue cycle management

While both roles operate within the healthcare industry, an Assistant Prior Authorization focuses on securing insurance approvals before procedures, whereas a Medical Billing Specialist handles claims processing and billing after services are rendered. Understanding these differences helps clarify career paths and employer expectations in healthcare administration.

What are the key skills and qualifications needed to thrive as an Assistant Prior Authorization, and why are they important?

To thrive as an Assistant Prior Authorization, you generally need a strong understanding of medical terminology, health insurance processes, and prior authorization requirements, often supported by a high school diploma or medical office training. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills in this position. These skills ensure accurate and timely processing of authorizations, minimize insurance denials, and support efficient patient care coordination.
What are the most commonly searched types of Prior Authorization jobs in Rochester, NY? The most popular types of Prior Authorization jobs in Rochester, NY are:
What are popular job titles related to Assistant Prior Authorization jobs in Rochester, NY? For Assistant Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:
What cities near Rochester, NY are hiring for Assistant Prior Authorization jobs? Cities near Rochester, NY with the most Assistant Prior Authorization job openings:

Medical Assistant (Part Time)

Schweigerderm

Rochester, NY

$18 - $22/hr

Part-time

Medical, Dental, Vision, Retirement

Re-posted 15 days ago


Job description

Schweiger is one of the leading dermatology practices in the country with over 580+ healthcare providers and over 170+ offices in New York, New Jersey, Pennsylvania, Connecticut, Florida, Illinois, Missouri, Minnesota, and California. Schweiger provides medical, cosmetic, and surgical dermatology and allergy services with over 2.5 million patient visits annually.
Our mission is to create the Ultimate Patient Experience and a great working environment for our providers, support staff and all team members.
Schweiger has been included in the Inc. 5000 Fastest Growing Private Companies in America list for seven consecutive years. Schweiger has also received Great Place to Work certification. To learn more, click here.

Schweiger's Ultimate Employee Experience:

  • Multiple office locations, find an opportunity near your home

  • Positive work environment with the tools to need to do your job and grow

  • Full time employees(30+hours per week)are eligible for:

    • Medical (Virtual Care included), HSA/FSA, Dental,Visionon 1stof the month after hire date

    • 401K after 30 days of employment

    • Company Sponsored Short Term Disability (Only applicable for non-California employee)

    • Pre-tax savings availablefor public transit commuters

    • Your birthday isan additional personal holiday

  • Part-timeemployees(less than 30 hours) are eligible for:

    • Dental and Vision on 1stof the month after date of hire

    • 401K after 30 days of employment

  • Employee discounts on Schweiger skin care products & cosmetic services

Job Summary:Per Diem Medical Assistant at our Rochester Office. The Medical Assistant is responsible for performing the highest quality of medical, clinical, and clerical tasks in a medical setting. Previous healthcare experience is required. / Dermatology experience is required. / Open to no experience but has an interest in healthcare, teamwork experience, and detail oriented with a flexible schedule. / We employ college graduates and gap year students who have an interest in the medical field, whether you have majored in the sciences or are switching tracks, we want to help you on your journey!

Schedule:Per Diem. Availability Monday through Friday with rotating Saturdays within operating hours of 7:00am - 730pm. Open Flexibility to help cover in a team environment is needed.

Medical Assistant

  • Promote a professional and welcoming atmosphere to enhance quality of service and care offered to patients and for respective provider(s)
  • Assist physician in medical, cosmetic and laser procedures
  • Assist provider in recording prescribed treatments, medications, biopsies, cultures, photos, prescriptions, prior authorization and procedures within established guidelines
  • Understand provider to patient flow and anticipate provider's next steps to the best of their ability
  • Prep rooms before and after patients, including checking all equipment at the beginning of each shift to ensure all is in proper working order
  • Provide pre-care and post-care treatment instructions as needed
  • Daily scan all retail and cosmetic products and medical supplies and alert Head MA and/or GM of any low level supplies
  • Perform inventory responsibilities and stocking of supplies and equipment as requested
  • Attend all in-house training and continued education opportunities

Qualifications

  • Dermatology experience required
  • Healthcare experience required
  • Nationally Certified Medical Assistant preferred
  • Experience using EMR software and patient scheduling systems
  • Must be computer savvy and familiar with Microsoft Word, Excel and Outlook
  • Strong communication, interpersonal, and organizational skills
  • Excellent patient relation and customer services skills
  • Open availability to work during weekdays and weekends

Hourly Pay Range: $18 - $22

Schweiger, is an equal opportunity employer and does not discriminate in its hiring process with applicants, whether internal or external, because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, gender identity, disability, genetic information, veteran status, military status, application for military service or any other class per local, state or federal law.
Schweiger does not require vaccination for COVID-19 in order to be considered for employment; however, some state guidelines may require that we keep record of your vaccination status on file.