Job Description
Prior Authorization Specialist Southwest Women's Oncology Optimum Infusion | Albuquerque, New Mexico Why This Role Matters A patient with a cancer diagnosis should not have to wait for treatment because the paperwork wasn't handled correctly. Prior authorization is one of the most consequential administrative functions in oncology and infusion care. When it works-done completely, submitted correctly, followed up on relentlessly-patients get to their infusion chair, operating room, and medicati…
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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