Insurance, Coverage & Prior AuthorizationFound
closePrior authorizations were handled by hand by a very small team, from collecting clinical notes and insurance details through submission to insurers. I built the workflow that tracks each authorization through submission, status, and renewal, and pulls a person in for cases that need judgment, such as denials. I also added coverage and billing checks that show cash and insurance options on a member's medication timeline.
- Prior authorization
- Coverage checks
- Billing workflows
Found,