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