Job Description
Description Job Title: Prior Authorization Specialist Department: Revenue Cycle / Billing Reports To: Sr. Director of Billing and Reimbursement Location: Onsite Preferred – Work From Home Position Summary The Prior Authorization Specialist is responsible for the timely and accurate submission of prior authorizations for Category I molecular pathology testing. The role requires reviewing clinical d
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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