Job Description
Job Description Responsible for verifying insurance coverage and eligibility, and obtaining required pre-authorizations for medical procedures, treatments and services. Handle authorization process and obtain pre-certification approvals prior to service. Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident providers and supervising faculty of delay
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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