Authorization Specialist III
Location: Remote
Compensation: Hourly
Reviewed: Fri, Apr 04, 2025
This job expires in: 6 days
Job Summary
A company is looking for an Authorization Specialist III to support the prior authorization request process within the utilization management team.
Key Responsibilities
- Tracks and maintains authorization requests for services according to insurance guidelines
- Verifies member insurance coverage and assesses service eligibility for timely payment adjudication
- Acts as a subject matter expert and provides guidance on the authorization review process
Required Qualifications
- High School diploma or GED required
- 2 - 4 years of related experience required
- Strong knowledge of medical terminology and insurance
- Ability to maintain relationships with service providers and clinical reviewers
- Familiarity with healthcare authorization processes, policies, and procedures
COMPLETE JOB DESCRIPTION
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