Job Description
Medical Billing Specialist ESSENTIAL DUTIES Knowledge of insurance verification and eligibility; authorization processes and ability to identify different kinds of insurance coverage and limitation. Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards. Collaborate with other departments to assist in obtaining prior authorization /appeals. Proactively work on prior authorizations that are due to be expired. Insurance verifi…
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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