Job Description
Position Title: Prior Authorization Specialist I Department: Pre-visit Services Job Description: General Description Under general supervision, the Prior Authorization Specialist I complete prior authorization workflows using defined protocols, system and payer rules. Essential Job Duties Submit prior authorization requests using standard payer workflows. Verify basic benefits, coverage, and authorization requirements. Track authorization status and update Epic accurately. Escalate incomplete o…
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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