Job Description
Job Description Job Description Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: - proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of technical medical terminology (e.g. copayment, deductible, coinsurance, primary/ secondary payor, referral)
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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