Job Description
Some of the Responsibilities Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications. Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies. Schedule, review and mail instructions and medications needed for specialty procedures. Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speec
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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