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Prior Authorization Specialist, Assembly Row
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- What does a Prior Authorization Specialist do?
- The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
- Discounted MBTA pass
- Informs doctor's office of any additional clinical requested, including notes that are lacking tried and true therapies/refrainment, e.g., Orthopedic or Neuro Spine cases.
- Follows all cases throughout the duration of the admission, working with Utilization Review (UR) Department every few days in Ontrac to send concurrent review clinicals.
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