Job Description
MAIN FUNCTION: the Insurance Verification Specialist will work with the Lead Authorization & the Lead Insurance Verification Specialists in overseeing and facilitating the concerted efforts of the prior authorization and the Insurance verification Work Teams. This employee will assist in working with our Internal/External Physicians patient authorizations and complete the Insurance Verification pr
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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