Job Description
Description SUMMARY This position is responsible for exercising independent judgment to process referrals and prior authorizations administration. All referrals and prior authorizations will be processed according to the appropriate insurance. This position is responsible for both on- and off-site services for multiple providers including Primary care, Specialty providers, Dental, Therapies includ
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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