Prior Authorization Coordinator

AIM OF THE POSITION

The Prior Authorization Coordinator is responsible for requesting authorization for all applicable incoming orders. This process includes understanding of payers’ medical policies for our services, collecting and reviewing all the necessary documentation required to submit prior authorization, contacting the ordering physician or their office for additional information when applicable, completing the required authorization submission forms within allotted timeframes and, follow-up with the payor to obtain an authorization determination. When applicable, the Prior Authorization Coordinator will also submit a Prior Authorization appeal if criteria is met but the Prior Authorization was denied erroneously.

POSITION WITHIN THE ORGANIZATION

1. Customer Care, Sales, Commercial an...