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Job Requirements of Authorization Specialist I:
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Employment Type:
Contractor
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Location:
Indianapolis, IN (Onsite)
Do you meet the requirements for this job?
Authorization Specialist I
BCforward
Indianapolis, IN (Onsite)
Contractor
Authorization Specialist IBCForward is currently looking for Care Coordinator II in Indiana (Remote) Position Title: Authorization Specialist I Locations: Indiana (Remote)Expected Duration: 6 MonthsPosition Type: Contract to Hire
Pay Rate: $15.00-$17.00/hr on W2
Target Start Date: 10/7/2024
Training Schedule:
The Authorization Specialist supports the prior authorization process, ensuring that all requests are handled in compliance with contractual timelines. This role is essential for maintaining accurate and timely documentation for services related to member healthcare eligibility and access. Key Responsibilities:
Pay Rate: $15.00-$17.00/hr on W2
Target Start Date: 10/7/2024
Training Schedule:
- Hours: 10:30 AM - 7:00 PM CST
- Days: Monday - Friday
- Weekdays: 1:30 PM - 10:00 PM CST
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Weekend Options:
- 7:30 AM - 6:00 PM CST
- 6:30 AM - 5:00 PM CST
- Days Off: Choose two of the following - Tuesday, Wednesday, Thursday
Note: Mondays and Fridays are mandatory workdays.
- Please note that the training will be for two weeks.
- The hours will be from 10:30- 7.00
- Monday - Friday 2 days off candidate can choose to take 2 of the following three days off Tuesday Wednesday Thursday
- Mondays Fridays are NOT able to be taken off
- Hours for the weekend shift will be able to be selected either 7:30 am - 6:00 or 6:30 am -5:00 pm
The Authorization Specialist supports the prior authorization process, ensuring that all requests are handled in compliance with contractual timelines. This role is essential for maintaining accurate and timely documentation for services related to member healthcare eligibility and access. Key Responsibilities:
- Data Entry: Enter and update authorization requests in the utilization management system. Claims are received via fax and converted into electronic format for processing.
- Support Utilization Management Team: Assist with tracking and documenting authorizations and referrals, ensuring compliance with policies and guidelines.
- Documentation: Contribute to the authorization review process by recording necessary medical information such as history, diagnosis, and prognosis.
- Policy Adherence: Stay updated on healthcare authorization processes, policies, and procedures.
- Other Duties: Perform additional tasks as assigned while complying with all company policies and standards.
- Monthly Goal: Meet a 98% processing goal. New hires have a 90-day ramp-up period for training.
- Quality Standards: Maintain a 98% accuracy rate from day one, with no ramp-up period.
- Internal SLA: Complete and upload each claim form within 2 hours of receipt.
- Education: High School Diploma or GED
- Experience: Entry-level position; little to no prior experience needed.
- Skills:
- Strong data entry skills, with the ability to type for 8 hours a day.
- Basic understanding of medical terminology and insurance (preferred).
- Attention to detail and ability to meet strict deadlines.
- Background in a similar role, such as Authorization Specialist.
- Previous experience in medical data entry
Interested candidates please send resume in Word format Please reference job code 228629 when responding to this ad.
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