Authorization Specialist I

Immediate need for a talented Authorization Specialist I. This is a 06+ Months Contract (possible extension) opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-71754
 
Pay Range: $19 - $20/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Support the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline.
• Aid utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
• Support authorization requests for services in accordance with the insurance prior authorization list.
• Support and perform data entry to maintain and update authorization requests into utilization management system.
• Assist utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines.
• Contribute to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination.
• Remain up to date on healthcare, authorization processes, policies and procedures.
• Perform other duties as assigned.
• Comply with all policies and standards.

Key Requirements and Technology Experience:

• Key Skills: Medical background ,Authorization experience
• Nice to have: Medicaid experience and excel background
• Medical background and authorization experience.
• Nice to have: Medicaid experience and excel background.
• High School diploma/GED .
• As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
  https://hire.glider.ai/connect/85157957

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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