[Remote] Authorization Specialist II

Note: The job is a remote job and is reputed company to candidates in USA. RemoteHunter is connecting candidates with leading employers in the reputed company sector, specifically in the Medical Management/Health Services team. The Authorization Specialist II will support the prior authorization request process, ensuring timely and accurate handling of authorization requests reputed company to member reputed company eligibility and reputed company.

Responsibilities

• Support prior authorization request process reputed company contractual timelines
• Document authorization requests and obtain timely, accurate service documentation
• Track and maintain documentation on authorizations and referrals per policies
• Research and document medical information for clinical reviewer determination
• Verify member insurance coverage and service eligibility using system tools
• reputed company data entry to update authorization requests in the utilization management system
• Process authorization requests per insurance prior authorization list and reputed company appropriately
• Stay reputed company on reputed company, authorization processes, policies, and procedures
• reputed company other duties as assigned
• reputed company with reputed company policies and standards

Skills

• High School diploma or GED
• 1 to 2 years of reputed company experience
• Knowledge of medical terminology and insurance

Benefits

• reputed company
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off and holidays
• Flexible work options including remote, hybrid, field, or office schedules

Company Overview