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Job Requirements of Authorization Specialist I:
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Employment Type:
Contractor
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Location:
Clarkson Valley, MO (Onsite)
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Authorization Specialist I
BCforward
Clarkson Valley, MO (Onsite)
Contractor
Authorization Specialist I
BCforward is currently seeking a highly motivated Authorization Specialist for an opportunity Remote
Position Title: Authorization SpecialistLocation: RemoteDuration: 12+ months of contract with Contract to HirePay Rate: $17.00/hr. on W2Shift: Monday - Friday, 12:00pm-8:30pm CSTNeed: Typing Test with score card is Required. Typing Speed (50 and above) WPM Job Description:Position Purpose:Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access. Required Skills/Experience:
BCforward is currently seeking a highly motivated Authorization Specialist for an opportunity Remote
Position Title: Authorization SpecialistLocation: RemoteDuration: 12+ months of contract with Contract to HirePay Rate: $17.00/hr. on W2Shift: Monday - Friday, 12:00pm-8:30pm CSTNeed: Typing Test with score card is Required. Typing Speed (50 and above) WPM Job Description:Position Purpose:Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access. Required Skills/Experience:
- Data Entry - typing all day long (8 hours ), 60-70 WPM.
- please ensure that a typing test is completed.
- Medical background.
- Data entry - the claim forms are submitted via fax, goes into system to become electronic. Pulling information off claim form and submitting position into database.
- Submitting member data into database.
- Team process 15,000 - 20,000 claims per day.
- (1) claim to upload takes 30 - 60 seconds.
- Receive faxes, triage them, then verify/enter the data present on the forms.
- Supporting intake department to streamline the intake process.
- Candidate needs to be comfortable typing fast and inputting data throughout the day.
- Accurately entering claim information on source documents.
- Corrects entries were indicated.
- Requires a High School diploma or GED.
- Entry-level position typically requiring little or no previous experience.
- Understanding of medical terminology and insurance preferred.
- Supports authorization requests for services in accordance with the insurance prior authorization list.
- Responsibilities: Supports and performs data entry to maintain and update authorization requests into utilization management system.
- Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines.
- Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination.
- Remains up to date on healthcare, authorization processes, policies, and procedures.
- Performs other duties as assigned.
- Complies with all policies and standards.
Interested candidates please send resume in Word format Please reference job code 229927 when responding to this ad.
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