Kaleida Health: Provides integrated hospital and outpatient medical care services.
High school diploma/GED required. Obtain prior authorizations for medications, imaging and surgeries, verify insurance, and assist patients with financial assistance applications.
Excelsior Orthopaedics: Provides medical treatment for bone, joint, and muscle conditions.
Obtain pre-authorizations, verify physician orders, communicate insurance cost responsibilities, assist billing with claim research; EMR experience and knowledge of CPT/HCPCS/ICD-10 and medical terminology required.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma, 1+ year pharmacy or prior authorization experience, state Board of Pharmacy registration, CPR/insurance knowledge, strong communication and organizational skills, experience with CoverMyMeds and pharmacy claim resolution.
Rochester Regional Health: Provides comprehensive healthcare services through hospitals and medical clinics.
1+ YOE1–3 years billing/authorization experience, familiarity with ICD-10/CPT/HCPCS, proficiency with EMR and spreadsheet applications, strong communication and problem-solving skills.
University of Rochester: Provides higher education, medical research, and healthcare services.
2+ YOEHigh school diploma or equivalent and 2 years relevant experience; experience with medical terminology, scheduling software, and electronic medical records preferred; strong customer relations and communication skills.
Epic, International Classification of Diseases (ICD), Current Procedure Technology (CPT)
Dent Neurologic Institute: Provides specialized outpatient neurology care and neurodiagnostic services.
High school diploma, strong attention to detail, Word/Excel and EMR experience (eCW preferred), good communication and problem-solving; healthcare experience preferred but not required.
Microsoft Word, Microsoft Excel, Electronic Medical Records (EMR), eClinicalWorks (eCW)
Health Insurance & Authorization Specialist II
Rochester, New York, United States
$21-$28/hrHybridFull Time
Highland Hospital: Provides acute care and specialized medical services in Rochester.
3+ YOEVerify insurance eligibility and coverage, obtain third-party authorizations, coordinate with external agencies, and refer uninsured patients to financial case management. Requires high school diploma (associate preferred), 3+ years related experience, medical terminology, and strong communication.
Prime Communications: Largest privately held AT&T authorized wireless retail partner.
High school diploma or GED, 18+ and authorized to work in the U.S., reliable transportation, strong communication and customer-facing skills, goal-oriented and sales-focused.
GardaWorld: Global provider of security, cash management, and risk solutions.
1+ YOEValid Canadian work authorization, valid security license, Ontario full G driver's license with clean abstract, first aid, 1 year security experience preferred, ability to stand/walk shifts, authorized to drive.
Helio Health: Provider of behavioral healthcare and addiction recovery services.
1+ YOELicensed physician registered in NYS with prescriptive authority and DEA, 1+ year substance abuse treatment experience, and basic computer skills.
Sound Physicians: Physician-led medical group providing comprehensive hospital-based clinical services.
Board-certified/eligible nurse practitioner with hospitalist experience, authorized to work in the U.S., comfortable with nocturnal schedule, and familiar with EPIC EMR.