Job Description
Duration: 3 Months Contract Schedule: 40 Hours/Week We are seeking an experienced Prior Authorization Specialist to support medical care management operations. The ideal candidate will review and process prior authorization requests, coordinate with providers, verify eligibility, maintain accurate documentation, and ensure compliance with turnaround time requirements. Experience with health plan o
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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