Authorization Specialist I

Immediate need for a talented Authorization Specialist 1. This is a 12+ months contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-70130
 
Pay Range: $15.50 - $16/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: 

• Pay Rate: We now work 7 days a week.
• We are needing recruits with OPEN availability: •
• Monday – Friday – 6 am to 7 pm CST •
• Saturday – 7 am to 5 pm CST • Sunday, 7:30 pm – 4:30 pm CST
• 30 days no time off (Yes about 10 hours)
• Kindly take any of the two assessments below for the typing
• Typing Test (1min) 50 WPM
  
  https://hire.glider.ai/assess/54374274
   
• Typing Test (2min) 50 WPM
  
  https://hire.glider.ai/assess/33667801
• Receive faxes, triage them, and send out to the appropriate teams within the client.
• Supporting intake department to streamline the intake process
• Candidate needs to be comfortable typing fast and inputting data through the day.
• Enters pertinent claims information from source documents.
• Corrects entries were indicated.
• Maintains appropriate records, files, documentation, etc.
• Processing for teams including Concurrent Review, Behavioral Health, and Medicare, etc. – department is open 7 days/week because of this level of exposure to the business
• Supports authorization requests for services in accordance with the insurance prior authorization list.
• Supports and performs data entry to maintain and update authorization requests into utilization management system.
• Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines.
• Contributes 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.
• Remains up to date on healthcare, authorization processes, policies, and procedures.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Monday -Friday 6am -7pm CST schedule, with Weekend availability as expectation is when done with 90 days ramp up, will take weekend shift
• Hour of operation for this role are weekdays Receive faxes, triage them, and send out to the appropriate teams within Client •
• Candidate needs to be comfortable typing fast and inputting data through the day • Enters pertinent claims information from source documents • WFH Experience with Teams chat and Outlook available for communication

 
Key Requirements and Technology Experience:  

• Key skills; Data Entry, Health Care, Authorizations.  
• High school diploma REQUIRED due to possibility of conversion later.
• 50 WPM typing speed, 10,000 keystrokes per hour/ open availability for week/weekends.
• 3 months to 1 year of data processing or clerical experience preferred but not required.
• Non open availability/ Non reliable internet connection.
• 10,000 Keystrokes alphanumeric per hour needed = between 50 – 60 WPM. Typing test needs to be attached to resume
• Ability to be punctual and reliable on the job
• Familiar with 10 Key , (Right side of keyboard with numbers)

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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