Job Description
Job Description A closed door pharmacy is looking to hire a Prior Authorization Specialist. This role will include assisting in the initiation of new prior auth requests, identifying correct forms required for patients insurance, coordinating information for forms, and following up with medical offices. These individuals must have experience working in a previous pharmacy setting and must have a s
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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