The Prior Authorization Specialist Program is the industry standard for establishing a career in healthcare managed markets.
Why Become a Prior Authorization Certified Specialist?
Certification is becoming a major factor in the healthcare industry.
The Prior Authorization Certified Specialist program is the first of its kind in the world. This course was created by a panel of experts with a range of experience from every role involved in the Prior Authorization process. This allows for you to gain valuable access to inside knowledge and expertise from providers' offices, pharmacies and insurance plans. Becoming certified will allow you to become an expert in your field, distinguish yourself, and become a leader with tremendous career growth potential.
Many employers prefer and often require their employees to obtain certifications. Why are companies looking for this assurance? They want to hire the best of the best. By becoming Board Certified in your field of expertise, and by maintaining PACS, you are saying that you:
- Have met standards that have been established and verified by a credible, accrediting body
- Are dedicated to maintaining quality of excellence in your profession
- Learn how you want, when you want. All of our content is self-paced, online and mobile ready
- Our customers would describe our company as credible and trustworthy
- We use a cutting-edge learning management system to help users maximize their learning
- Our program is the most comprehensive prior authorization program developed by professionals in the field
Master These Skills
Initiating and submitting service and medication prior authorizations
Identifying medical necessity and proper research to ensure the prior authorization aligns with insurance medical guidelines
Learn how the insurance company/payer evaluates the prior authorization request when received
Improve your success in the prior authorization process by better understanding the role that each healthcare professional plays in the process
Understand the use of medical compendia, ICD-10 codes, CPT and FDA approved diagnoses to get a prior authorization approved
Learn about the process of denials and approvals and how to successfully execute a prior authorization
What PACS Professionals Say
I had a great experience! In terms of the program and design, the content is great. I am already seeing benefits in my role. There are things that I learned in the PACS program that I'm using in my conversations with the physicians and nurses. There is tremendous value in the PACS program!Anil Bulchandani, MBA, LSSBB, PACS
Prior authorizations are not a multiple choice test that if you put in enough right answers you'll pass and get an approval. The PACS course explained not just the "why" of the process, but the importance of all the pieces that make up the "why." I would recommend this course to anyone involved with the authorization process to better grasp the steps and refresh their skills. I thought I was pretty savvy when it came to prior authorizations but this certification allowed me to further demonstrate my knowledge and skill set.Elizabeth Johnson, LPN, CPC, PACS
I found the information informative. I knew some of it from doing prior authorizations already but I also learned a lot about different insurance companies and services rather than just medications. I got through it pretty quickly. I liked how the test was laid out with different sections and was easy to follow. The information was easy to understand and follow. I like the links that were throughout the slides for more information. The exam itself was over the material read, no trick questions or hidden information. Overall, I would recommend the course.Taylor Nease, CPhT, PACS
Great certification program for the field reimbursement/patient access role. This is beneficial to people in the profession. This gives them an in-depth overview of the operations surrounding reimbursement.Dorette Shirley, PACS
The PACS Program is designed very well. It helped me sharpen my skills in this area. Overall great course and great learning experiences. There are so many topics that helped me clear my concepts and I will definitely implement that during my routine job.Jayshree Patil, PACS
I really enjoyed the program as it was pertinent to my current role as a Field Reimbursement Manager at GSK. I heard about the PACS program from our leadership who supported us in obtaining this certification. Overall, it was a great learning experience and well worth the investment!"Jay Harding, PACS