Job Description
Prior Authorization Specialist - Remote Role and Responsibilities: Review pending authorization requests and AI-generated prior authorization recommendations and strategies. Assess the reasoning quality and effectiveness of AI recommendations across payers and clinical policies. Identify cases where AI recommendations diverge from effective prior auth practices and explain why. Describe the operat
7:00 AM
Read the overnight performance summary before reaching the office. Days in AR ticked up 1.2 days. You know why — the new Epic upgr…
8:00 AM
Leadership team standup. 15 minutes. Each team lead reports their top issue and their top win from the previous day. You listen, a…
9:00 AM
Review the monthly performance dashboard before presenting to the CFO. Net collection rate at 97.2% — above target. Denial rate at…
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