Authorization Specialist

A company is looking for an Authorization Specialist II to support the prior authorization request process within the Medical Management / Health Services team.

Key Responsibilities

Aids the utilization management team by tracking and documenting authorizations and referrals according to policies and guidelines

Supports the authorization review process by researching and documenting necessary medical information for clinical review

Verifies member insurance coverage and processes authorization requests in alignment with guidelines for timely adjudication

Required Qualifications

High School diploma or GED required

1 - 2 years of related experience preferred

Knowledge of medical terminology and insurance preferred