De la Pena Eye Clinic

The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patients scheduled at the practice.

1. The Prior Authorization Specialist is responsible for reviewing prior authorization requests and following and established process.
2. This position manages a high call volume of prior authorization services.
3. The position reviews schedules with multiple patient's appointments, verifies or obtains authorization and document authorization information.
4. Communicate authorizations and denials to ordering physicians.
5. Keep records of schedules and authorization requests.
6. The person who fills this position is required to maintain a working knowledge of Managed Care Contracts as well as insurance requirements for authorizations, notifications or referrals.