Job Description
Job Description: Prior Authorizations Specialist Job Title Prior Authorizations Specialist Reports To Clinic Director Department Clinic FLSA Status Non-Exempt Summary To assist Saunders Medical Center (SMC) Rural Health Clinic, Specialty Clinics and other services of Saunders Medical Center with obtaining prior authorizations for patient procedures. The Prior Authorization Specialist provides deta
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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