Authorization Specialist I

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Assist with prior authorization requests to ensure they are handled within contractual timeframes.

• Collaborate with the utilization management team to document authorization requests.

• Gather accurate and timely documentation related to members' healthcare eligibility and access.

• Facilitate authorization requests in line with the insurance prior authorization list.

• Conduct data entry to maintain and update authorization requests within the utilization management system.

• Monitor authorizations and referrals while keeping appropriate documentation in accordance with policies and guidelines.

• Record medical information, including history, diagnosis, and prognosis, for clinical reviewer assessments.

• Remain updated on healthcare, authorization processes, policies, and procedures.

• Carry out additional duties as assigned.

⛳️ Requirements

• Must be eligible to work in the U.S. without requiring employment-based visa sponsorship, now or in the future.

• High School diploma or GED is mandatory.

• Familiarity with medical terminology is preferred.

• Knowledge of insurance practices is preferred.

• This is an entry-level position that typically requires minimal or no previous experience.

• Adherence to all policies and standards is required.

🏝️ Benefits

• Competitive compensation.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plan.

• Tuition reimbursement opportunities.

• Paid time off.

• Paid holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional forms of incentives may be included in total compensation.