Prior Authorization Associate

About this role

Responsibilities

• Understands the referral process start to finish and acknowledges authorization as an important step in the overall process
• Meets authorization volume and quality standards set monthly
• Thoroughly reviews patient charts in Epic, submits the appropriate clinicals for authorization to the correct payer/third party vendor
• Utilizes Experian RTA system to obtain authorization and verifies authorization completion within system
• Communicates all necessary authorization updates and status changes to the appropriate department(s)