Job Description
Full-time Description PRIOR AUTHORIZATION REPRESENTATIVE: The description below is intended to depict the general content and requirements for the performance of this position. It is not to be constructed as an exhaustive statement of duties, responsibilities, or requirements. JOB SUMMARY: The Prior Authorization Representative’s primary job function is coordinating transition services with intern
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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