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Prior Authorization Associates (5 Jan 26)

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A Prior Authorization (PA) job involves securing insurance approval for medical services, medications, or equipment before they're provided, requiring review of patient records, verifying insurance, submitting detailed requests, tracking approvals/denials, appealing rejections, and communicating with providers and patients, ensuring timely patient care and revenue cycle efficiency. Key duties include data entry, follow-ups, ensuring medical necessity documentation, and handling administrative tasks related to payer policies.
Key Responsibilities:
Essential Skills:
  • Attention to detail
  • Strong communication
  • Knowledge of medical terminology/coding (often preferred)
  • Problem-solving
  • Organizational skills and ability to multitask

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