Job Description
**POSITION SUMMARY**
This role is responsible for processing prior authorization requests efficiently while adhering to payer guidelines and policies.
**ESSENTIAL FUNCTIONS**
**Handles complex prior authorization requests, including high-cost medications and procedures.**
**Serves as a point of contact for escalated authorization issues.**
**Assists in reviewing insurance policies to ensure compliance with payer requirements.**
**Coordinates with healthcare providers and insurance companies to resolve discrepancies.**
**Ensures timely submission and follow-up on authorization requests.**
**Reviews incoming authorization requests and verifies patient eligibility and benefits.**
**Initiates prior authorization requests via phone, fax, or online portals.**
**Tracks and follows up on the status of submi...
This role is responsible for processing prior authorization requests efficiently while adhering to payer guidelines and policies.
**ESSENTIAL FUNCTIONS**
**Handles complex prior authorization requests, including high-cost medications and procedures.**
**Serves as a point of contact for escalated authorization issues.**
**Assists in reviewing insurance policies to ensure compliance with payer requirements.**
**Coordinates with healthcare providers and insurance companies to resolve discrepancies.**
**Ensures timely submission and follow-up on authorization requests.**
**Reviews incoming authorization requests and verifies patient eligibility and benefits.**
**Initiates prior authorization requests via phone, fax, or online portals.**
**Tracks and follows up on the status of submi...
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