Prior Authorizations Rep
- Review EMR chart messaging and review schedules daily for upcoming surgical & in-office procedures
- Review chart documentations to ensure patient meets medical policy guidelines
- Prioritize authorization requests according to urgency
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
- Verify coverage and benefits and calculate any out-of-pocket portions due
- Contact patients to review any out-of-pocket portions due prior to surgery
- Minimum 1 year prior authorization experience
- Understanding of payer medical policy guidelines to manage authorizations effectively
- Proficient use of CPT and ICD10 codes
- Detail-oriented and above-average organizational skills
- Plans and prioritizes to meet deadlines
- Ability to multitask and remain focused while managing a high volume, time-sensitive workload
- Urology experience helpful
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