Job Summary
A company is looking for an Authorization Specialist II who will support the prior authorization request process for healthcare services.
Key Responsibilities
- Aids the utilization management team by tracking and documenting authorizations and referrals according to policies
- Researches and documents necessary medical information for the authorization review process
- Verifies member insurance coverage and processes authorization requests in alignment with guidelines
Required Qualifications
- High School diploma or GED required
- 1 - 2 years of related experience preferred
- Knowledge of medical terminology and insurance preferred
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