Authorization Specialist I

Authorization Specialist I

BC Forward is looking for Authorization Specialist I (REMOTE)

Position Title: Authorization Specialist I (REMOTE)

Locations: Remote - CST

Anticipated Start Date: 02/24

Expected Duration: 13 weeks

Job Type: Contract with possible extension

Shift: Working schedule: Monday - Wednesday 1:30 PM - 10 PM CT and Saturday and Sunday 6:30 AM - 3 PM CT

Pay Rate: $24.00/hr on W2

Need: Min 2 yrs of healthcare and Data entry experience with Typing speed 50+WPM

Job Description:
Position Title: Prior Authorization Support Specialist
Position Purpose:
The Prior Authorization Support Specialist plays a key role in facilitating prior authorization requests, ensuring they are processed accurately and within contractual timelines. This position supports the utilization management team by documenting authorization requests and securing timely and accurate documentation related to members' healthcare eligibility and access.
Day-to-Day Responsibilities
In this role, the Prior Authorization Support Specialist will:

• Identify and categorize various document types based on predefined group processes.
• Sort and process authorization-related documents with accuracy and efficiency.
• Enter key data from documents into the utilization management system, ensuring compliance with established guidelines.
• Maintain a high level of accuracy and attention to detail while processing authorization requests.
• Support the utilization management team by ensuring timely and organized documentation.

Performance Expectations & Metrics
To be successful in this role, the individual and their team are expected to meet the following performance standards:

• Actively work within the application for a minimum of 6.5 hours during an 8-hour workday.
• Maintain a goal of sorting an average of 126 faxes per hour or keying 62 faxes per hour.
• Ensure accuracy and efficiency in document processing and data entry.

First Day Overview
The first day will follow a structured onboarding process:

• 8:00 AM CT - IT onboarding call to verify system access and ensure all necessary programs are functioning.
• Post-IT Call - Orientation session and onboarding training videos.
• 10:30 AM CT - Teams meeting for hands-on training focused on document sorting, continuing for the remainder of the day.

Preferred Skills & Experience

• Data Entry Experience - Strong attention to detail and accuracy in entering information.
• Typing Speed - Ability to type 50+ words per minute (WPM) with accuracy.

Education Requirement

• High School Diploma or GED required.

Education & Experience:

• High School Diploma or GED required.
• Entry-level role; prior experience is not required.
• Knowledge of medical terminology and insurance processes is preferred.

Key Responsibilities:

• Process and support authorization requests in compliance with the insurance prior authorization list.
• Perform data entry to maintain and update authorization records within the utilization management system.
• Assist the utilization management team in tracking and documenting authorizations and referrals per established policies and guidelines.
• Contribute to the authorization review process by documenting essential medical information, including patient history, diagnosis, and prognosis, for clinical review and determination.
• Stay informed on healthcare authorization processes, policies, and procedural updates.
• Perform additional duties as assigned.
• Ensure compliance with all company policies, standards, and regulations.

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 234971 when responding to this ad.

---