Authorization Specialist I

Authorization Specialist I

BCForward is looking for Authorization Specialist I- Remote

Position Title: Authorization Specialist I

Location: Remote

Anticipated Start Date: 04/14

Expected Duration: 06 Months

Job Type: [FULL TIME (>%3D40 HRS WEEKLY], [CONTRACT], {Remote}

Pay Rate: $21.00/hr on W2

Daily Schedule:

• Shift options:
• Tuesday - Saturday, 11 AM - 8 PM EST
• Sunday - Thursday, 11 AM - 8 PM EST
• Training: 3 months from 8 AM - 5 PM EST (1-hour lunch).

Position Purpose: The Authorization Specialist I supports prior authorization requests, ensuring all submissions are addressed properly and within contractual timelines. This role assists the utilization management team in documenting authorization requests and obtaining accurate, timely documentation for services related to member healthcare eligibility and access.

Key Responsibilities:

• Perform data entry to maintain and update authorization requests in the utilization management system.
• Assist the utilization management team with tracking and documentation of authorizations and referrals per policies and guidelines.
• Contribute to the authorization review process by documenting necessary medical information (history, diagnosis, prognosis) for clinical review.
• Stay current on healthcare authorization processes, policies, and procedures.
• Perform additional duties as assigned, complying with all policies and standards.

Education/Experience:

• High School diploma or GED required.
• Entry-level position; minimal prior experience needed.
• Understanding of medical terminology and insurance is preferred.

Candidate Requirements:

• Must be able to work weekends.
• Must have experience in data entry and customer service.
• Understanding of prior authorization processes is a plus.

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 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 236862 when responding to this ad.

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