Authorization Specialist I

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

📋 Description

• Assist with prior authorization requests while ensuring they are handled appropriately within contractual deadlines.

• Support the utilization management team in recording authorization requests.

• Acquire precise and timely documentation for member healthcare eligibility and access.

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

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

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

• Record medical information such as history, diagnosis, and prognosis for the clinical reviewer's determination.

• Keep informed about healthcare, authorization processes, policies, and procedures.

• Carry out other assigned responsibilities.

• Adhere to all policies and standards.

⛳️ Requirements

• Must have authorization to work in the U.S. without current or future employment-based visa sponsorship.

• High School diploma or GED is required.

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

• Familiarity with medical terminology is preferred.

• Understanding of insurance processes is preferred.

• Must be willing to work flexible weekend hours.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

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

• Additional incentive programs may be included in total compensation.