- Initiate, submit and follow up on prior authorization requests with insurance companies.
- Communicate with insurance representatives, healthcare providers and internal teams to resolve authorization queries.
- Coordinate with clinical teams to obtain medical records and supporting documentation.
- Track pending requests, follow up on delays and escalate issues promptly.
- Review approvals and denials, and coordinate resubmissions or appeals as required.
- Maintain accurate authorization records, including reference numbers, validity dates and payer communications.
- Follow payer guidelines, protect patient confidentiality, and meet turnaround time and quality targets.