Job Description
Job Description Job Description This position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments. Qualified candidate must possess: Experience with medication prior authorizations ( CoverMyMeds ). Experience with imaging prior authorizations (AIM, eViCore, etc.). Experience with collecting copays. Familiarity with medications and medical …
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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