Job Description
Job Title: Prior Authorization Specialist Reports to: Office Manager Supervises: n/a Department: Clinical Location: Grandville Employment Status: Part-time Job Summary: The Prior Authorization (PA) Specialist works to obtain approval from insurance companies for procedures, treatments and medications for West Michigan Dermatology patients. This includes initiating the PA process and following it t
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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