Job Description
· Experience and knowledge of insurances and prior authorizations; Epic experience preferred · Ability to effectively and professionally communicate with physicians, clinical and administrative staff, managers, patients and insurance companies · Must be self-motivated and have the ability to work independently and within a team · Demonstrates excellent telephone, computer, organization and custome
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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