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.
Independent Health: Provides health insurance coverage and pharmacy benefit management services.
2+ YOEHigh school diploma or GED required; associate degree preferred. Requires 2 years in pharmacy or health insurance operations, or 1 year in a prior authorization role, plus pharmacy operations knowledge and strong communication skills.
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHigh school diploma or GED, 1+ year pharmacy or prior authorization experience, state-required Board of Pharmacy registration, insurance claims knowledge, CoverMyMeds experience, and strong communication and organizational skills.
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.
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)
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)
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/GED, 18+ and authorized to work in the U.S., reliable transportation, strong communication and customer-facing skills; sales/customer-service experience preferred.
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.
PrimeFlight Aviation Services: Provides comprehensive ground and passenger support services for airports.
Must be 18+, legally authorized to work, hold a valid driver's license, communicate in English, and be eligible for FAA/RAIC/TSA/Port Authority/U.S. Customs/U.S. Postal clearances; must lift heavy objects and work in outdoor conditions.
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.