Job Description
Role and Responsibilities Responsible for directing, planning, coordinating, and administering the medical records program of the hospital. · Responsible for supervising and managing department operations and managing the function of utilization review as required by public law and any other agencies. · Work is performed in accordance with hospital rules and regulations, the Joint Commission on Ac
7:00 AM
Review the surgical and procedure schedule for the next 48–72 hours. Every case that requires authorization needs to be cleared be…
7:30 AM
Pull the PA worklist. Filter by date of service — cases with the earliest service dates get worked first. High-cost procedures (su…
8:30 AM
Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them all…
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