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Insurance Verification & Authorization Specialist (on-site)
PedIM Healthcare
πŸ“ Crystal River, Citrus County On-site Prior Authorization Posted 2026-04-01
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Job Description

Description: Position Summary The Insurance Verification & Authorization Specialist is responsible for verifying patient insurance coverage, eligibility, and benefits to ensure a seamless billing and authorization process. This role involves securing prior authorizations, obtaining referrals when necessary, and documenting insurance details in the system. The specialist collaborates with various d
A Day in the Life: Prior Authorization
Full Career Guide β†’
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 β€” 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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