Job Description
Description Job Duties/Responsibilities: • Obtain prior authorizations for imaging and procedures from appropriate payors. • Maintain ongoing tracking and appropriate documentation on prior authorizations to promote team awareness and ensure patient safety • Ensure complete and accurate registration, including patient demographic and current insurance information • Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clin…
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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