Prior Authorization Specialist Job at Vaco
Job Description
Prior Authorization Specialist Job at Vaco – Vaco is a global talent solutions and business consulting firm serving businesses and job seekers across multiple industries and specialties.
Prior Authorization Specialist Job at Vaco
Job Description
* Review chart documentation to ensure patient meets medical policy guidelines * Prioritize incoming authorization requests according to urgency.
* Obtain authorization via payer website or by phone and follow up regularly on pending cases
* Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations * Initiate appeals for denied authorizations
* Respond to clinic questions regarding payer medical policy guidelines
* Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
* Contact patients to discuss authorization status * Other duties as assigned