Responsibilities
- Evaluate patient insurance plans to identify prior authorization criteria based on CPT codes for scheduled surgeries.
- Submit prior authorization applications via provider portals, phone calls, or fax as required.
- Monitor the status of submitted requests and follow up to secure timely approvals.
- Ensure approved authorizations are correctly linked to the corresponding patient appointment in the system.
- Prepare and file formal appeals for denied or pending authorization cases.
- Reach out to patients when needed to clarify the authorization process or collect missing details.
- Maintain precise records of all authorization actions within patient medical files for care team access.
Work Arrangement
Remote (Worldwide)
Work Arrangement
Remote (Worldwide)
