Job Description
Job Address: 9299 Market Place&xa;Broadview Heights, OH 44147&xa; Job Description : Prior Authorization Specialist Reports to : Pharmacy Prior Authorization Manager Job Type : Full-Time – Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview : The Prior Authorization Specialist will maintain the Prior Authorization’s workflow for a set of facilities assigned by the super
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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