- Obtain prior-authorization for all patients requiring insurance approval for medication needs
- Verify patient insurance information is accurate and documented correctly
- Troubleshoot prior authorization submissions and prescription processing with health care providers
- Review and resolve all reported authorization issues timely and effectively
- Submit prior authorizations to insurance plans via portals, fax, or phone
- Communicate authorization and benefit coverage with patients and providers
- Obtain appropriate documentation to validate the approval or denial of authorizations
- Document progress of prior authorization appropriately using our operating system
- Follow up on pending authorizations on a regular basis
- Advise management of identified trends with payers to mitigate problems
Time Management