Authorization Specialist I

Authorization Specialist I

BCForward is currently looking for Care Coordinator II in Indiana (Remote)

Position Title: Authorization Specialist I

Locations: Indiana (Remote)

Expected Duration: 6 Months

Position Type: Contract to Hire
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

Regular Shift Information:

• Weekdays: 1:30 PM - 10:00 PM CST
• 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

During the week it would be 1:30 pm- 10:00 pm training would still take place in the morning

Position Purpose:
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.

Performance Expectations:

• 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.

Required Skills & Experience:

• 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.

Preferred Experience:

• Background in a similar role, such as Authorization Specialist.
• Previous experience in medical data entry

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 228629 when responding to this ad.

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