authorization specialist i

authorization specialist i

Posted Today by Randstand (USA)

Negotiable
Outside
Remote
bronx, new york (remote)

Summary: The Authorization Specialist I role involves supporting the prior authorization process by managing incoming requests and ensuring they are addressed accurately and within contractual timelines. The position requires collaboration with the utilization management team to facilitate timely access to healthcare services based on member eligibility. This role is remote and based in Bronx, New York.

Key Responsibilities:

  • Process and manage authorization requests for services in accordance with insurance guidelines.
  • Work closely with the utilization management team to handle high volumes of incoming requests.
  • Obtain necessary medical information to support authorization requests.
  • Ensure timely access to healthcare services based on member eligibility.

Key Skills:

  • Experience in prior authorization processes.
  • Strong communication and organizational skills.
  • Ability to manage high volumes of requests efficiently.
  • Familiarity with healthcare services and insurance guidelines.

Salary (Rate): £18.85 hourly

City: Bronx

Country: United States

Working Arrangements: remote

IR35 Status: outside IR35

Seniority Level: undetermined

Industry: Other

Detailed Description From Employer:

In this role, you will support the prior authorization process to ensure all requests are addressed accurately and within contractual timelines. You will work closely with the utilization management team to manage high volumes of incoming requests, obtain necessary medical information, and ensure timely access to healthcare services based on member eligibility.

Responsibilities

  • Process and manage authorization requests for services in accordance with insu