Job Description
Summary SUMMARY: SUMMARY: Under the direction of the department of Patient Access Supervisor and Director, the Prior Authorization Specialist is responsible for the accurate and timely submission and attainment of authorization for NKCH patients. Responsibilities will include, but not limited to, insurance verification, insurance coverage discovery, precertification and authorization stat using in
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 →