Prior Authorization Specialist Job at Vaco

March 9, 2022
$17 - $18 / hour

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

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