Job Description
Job Description Job Description Title: Prior Authorization Specialist Location: HYBRID [1-2 day onsite per week to RenCen - Tower 500, Detroit, MI] Duration: 8 months Role Overview Support healthcare payer providers, including pharmacists and physicians, in analyzing Medicare Part D and/or commercial pharmacy and specialty drug benefits. Responsibilities include handling drug coverage inquiries an
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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