Prior Authorization Specialist

Manage the full lifecycle of prior authorizations (PAs) for medical services. Responsible for timely submission, meticulous follow-up, and effective resolution of all prior authorization requests and subsequent appeals. This role is critical in ensuring patients receive necessary services without delay and in maximizing reimbursement for the practice. Responsibilities include prior authorization submission and monitoring, status follow-up, denial management and appeals, system and documentation updates. Also requires monitoring the designated fax inbox or electronic queue for prior authorization approvals, denials, and requests for additional information.