Authorization Specialist II

Job Title :

Authorization Specialist II - J00904

Address : Tempe, AZ 85281

Job Description

Supports the prior authorization request process to ensure timely and accurate responses within contractual timelines.

Documents authorization requests and gathers necessary medical information such as history, diagnosis, and prognosis for review.

Verifies member insurance coverage and service / benefit eligibility using system tools.

Maintains tracking and documentation of authorizations and referrals in accordance with policies.

Performs data entry to update authorization requests in the utilization management system.

Supports authorization review by researching and documenting relevant medical details for clinical review.

Critical Information

Remote : Yes

Work hours : Standard business hours

Environment : Office-based with possible remote flexibility

Education / Licenses Needed

High School diploma or GED

1-2 years of related experience preferred

Knowledge of medical terminology and insurance guidelines preferred

Benefits :

Benefits are available to full-time employees after 90 days of employment.

A 401(k) with company match is available after 1 year of service.

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