Job Description
Job Description DAY TO DAY: This individual will be responsible for: - Processing HMO authorizations - Managing HMO referrals - Supporting medical imaging authorizations - Supporting infusion authorizations - Working daily Epic work queues - Managing and responding to daily email assignments - Communicating with payers, internal clinical teams, and scheduling partners to ensure timely financial cl
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…
See salary ranges, certifications, and full career path →