Job Description
Description Job Summary: The prior authorization specialist is responsible for prior authorization operations within the primary care clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization, coordinating prior authorization functions with all other departments. Job Duties : Obtain prior authorizations for imaging and procedures from appropriate payors. Maintain ongoing tracking and appropriate documentation on…
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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