Authorization Specialist I

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

📋 Description

• Assist in processing prior authorization requests to guarantee that all inquiries are handled appropriately and within the agreed timeframe.

• Support the utilization management team in recording authorization requests and procuring accurate, timely documentation for member healthcare eligibility and access.

• Facilitate authorization requests for services as outlined in the insurance prior authorization list.

• Conduct data entry to maintain and refresh authorization requests in the utilization management system.

• Help track and document authorizations and referrals in accordance with established policies and guidelines.

• Record medical details, including history, diagnosis, and prognosis, for the clinical reviewer’s evaluation.

• Stay informed on healthcare trends, authorization processes, policies, and procedures.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

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

• A High School diploma or GED is required.

• This is an entry-level position that typically requires little to no prior experience.

• Knowledge of medical terminology and insurance is preferred.

• Must adhere to all policies and standards.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Opportunities for stock purchase plans.

• Tuition reimbursement available.

• Paid time off in addition to holidays.

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

• Additional incentives may be part of the total compensation package.

• We are an equal opportunity employer dedicated to fostering diversity.