Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist I.

Key Responsibilities

• Supports prior authorization requests and ensures they are addressed within contractual timelines
• Aids the utilization management team in documenting and obtaining necessary healthcare eligibility information
• Contributes to the authorization review process by documenting medical information for clinical review

Required Qualifications

• High School diploma or GED
• Knowledge of medical terminology and insurance preferred
• Experience with data entry in utilization management systems
• Understanding of healthcare authorization processes and policies
• Credentials, licenses, certifications, or degrees relevant to the position