Job Description
Job Description Job Description Title: Prior Authorization Specialist Location: RenCen - Tower 500, Detroit MI Dept: Pharmacy Help Desk Comm The expectation is they would be work fully remote, but we would offer the option to work on site in the case of extenuating circumstances where they're not able to work their shift from home that day (power outage, internet service down, etc) Engagement Desc
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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