Authorization Specialist I

BCforward is currently seeking a highly motivated Authorization Specialist I- Remote CST

Job Title: Authorization Specialist I
Target Start Date: June 16, 2025

Assignment Duration: 11 Months (No extension or conversion possibility)
Pay Rate: $21/hour
Work Schedule: 12:00 PM - 9:00 PM CST, Sunday - Thursday (1-hour lunch, no changes to schedule)
Location: Remote (CST Preferred)

Position Purpose

The Authorization Specialist I supports the processing of prior authorization requests in accordance with contractual timelines and insurance policies. This role is integral to the Utilization Management team, helping ensure timely and accurate documentation of healthcare service authorizations to support member eligibility and access.

Key Responsibilities

• Perform data entry and maintain accurate authorization requests in the Utilization Management system.
• Assist with tracking and documenting authorizations and referrals according to company policies and procedures.
• Collect and document medical information (e.g., history, diagnosis, prognosis) to support clinical review processes.
• Send approval letters and correspondence for automated authorizations.
• Perform User Acceptance Testing (UAT) and complete manual letters as needed.
• Communicate with healthcare providers to verify and follow up on authorization details.
• Stay informed on updates related to healthcare, authorization processes, and internal policies.
• Perform additional administrative duties as assigned.
• Comply with all company policies, standards, and documentation requirements.

Education & Experience

• Required: High School diploma or GED
• Preferred: Understanding of medical terminology and insurance processes
• Experience: Entry-level position; minimal prior experience required

Candidate Requirements

Must-Have Skills:

Nice-to-Have Skills:

• Familiarity with medical terminology
• Healthcare or insurance experience

Team and Culture

• Collaborative, process-driven team environment
• Replacing previous contractor; team requires additional support
• Focus on efficiency, accuracy, and compliance
• Not member-facing; limited interaction outside of team

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 239144 when responding to this ad.