Job Description
Job Description Insight Global's client is seeking a detail-oriented Prior Authorization Specialist to support a growing plastic and reconstructive surgery practice in Red Bank, NJ. This role is heavily focused on true prior authorization work, including initiating authorizations, tracking pending cases, following up with payers, supporting denial workflows, and ensuring documentation is complete
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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