Job Description
Job Description Job Description Job Summary The Prior Authorization Representative will play a critical role in ensuring the smooth and efficient operation of the practice by obtaining and managing prior authorizations for medical procedures and diagnostic testing. They will work closely with healthcare providers, insurance companies, and patients to navigate the prior authorization process, ensur
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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