Job Description
Job Description Verify patients' prescription insurance coverage and update their information in the system. Process pharmacy claims and resolve claim issues or rejections. Inform providers when prior authorization is needed and assist during the authorization process. Handle inbound calls from patients, doctors, and clinics regarding order status, services, and financial assistance options. Docum
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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