Authorization Specialist I

Immediate need for a talented Authorization Specialist I . This is a 06+months contract opportunity with long-term potential and is located in Tampa,FL, CA, TX (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-64526
 
Pay Range: $20 - $21/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:

• The business unit needs additional staff for weekend coverage to assist with our weekend inventory.
• Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline.
• Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
• Remains up to date on healthcare, authorization processes, policies and procedures
• Surrounding team & key projects
• Purpose of this team
• Reason for the request
• Motivators for this need
• Any additional upcoming hiring needs?     
• Candidate will be processing requests received from our provider portal system. TruCare Cloud or Trucare Classic system.
• No phone calls but may need to communicate with provides for clarification.
• Excellent attendance (especially during training):
• The need is for weekend coverage.
• Hours: Tuesday – Saturday 11am- 8pm
• Sunday – Thursday 11am – 8pm

Key Requirements and Technology Experience:

• Key Skills:Data Entry, CSR, prior authorization exp , medical terminology, 
• Years of experience required -  Must haves: Data entry – customer service - prior authorization exp.
• Nice to haves: Understanding of medical terminology and insurance preferred.
• Top 3 must-have hard skills - Data entry.
• customer service (may need to communicate with provides for clarification on requests).
• Attention to detail (No errors).
• High School Diploma or GED.
• Microsoft Outlook, Microsoft Word, Microsoft Excel, SharePoint, Internet, Microsoft Teams.

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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