Job Description
Description ALL FULL TIME EMPLOYEES ARE ELIGIBLE FOR A 100% EMPLOYER PAID HELATH PLAN! AMERICAN MEDICAL GROUP IS GROWING AND ARE NEEDING SOME ADDITIONAL PRIOR AUTHORIZATION SPECIALISTS Key Responsibilities Insurance Authorizations & Verification Obtain prior authorizations for GI procedures (e.g., colonoscopies, endoscopies, ERCP, capsule endoscopy) and imaging as required. Process authorizations
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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