Job Description
Role Objective
We are seeking a detail-oriented Prior Authorization Specialist with a focus on Urology to join our team. You will be responsible for ensuring that all urological procedures, diagnostic tests, and medications are pre-approved by insurance carriers, minimizing denials and ensuring seamless patient care.
Key Responsibilities
Authorization Management: Submit and track prior authorization requests for urology-specific services, including cystoscopies, vasectomies, UroLift, and oncological treatments.
Clinical Review: Review patient charts and medical necessity documentation to ensure they meet payer-specific criteria.
Payer Communication: Proactively follow up with insurance companies (U.S.-based payers) via web portals and phone to expedite approvals.
Denial Prevention: Identify potential red flags in documentation that could lead to denials and collaborate with the clinical team to rectif...
Apply for This Position
Ready to take the next step? Click the button below to submit your application.
Submit Application