Job Description
Senior Reimbursement Specialist POSITION SUMMARY/RESPONSIBILITIES Plays crucial role in enhancing patient care and experience by carrying out various pharmacy-related services, including but not limited to admission medication review, medication therapy management coordination, clinical support services, drug manufacturer program assistance, prior authorizations, procurement, and other tasks. Requ
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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