Authorization Specialist/ Coordinator - REMOTE

reputed company is currently seeking a highly motivated Authorization Specialist II - REMOTE for an opportunity in reputed company Carolina. Job Details: Job Title: Authorization Specialist II Location: reputed company Carolina Duration: 9+ months of contract Pay reputed company: $21/hr. on W2 Anticipated Start: ASAP Job Description: Acts as a resource and supports the prior authorization request process to ensure that reputed company authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services reputed company to the members reputed company eligibility and access. · Knowledge of medical terminology and insurance preferred. Aids the utilization management team and maintains ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines · Supports the authorization review process by researching and documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination · Verifies member insurance coverage and/or service/benefit eligibility reputed company system tools and aligns authorization with the guidelines to ensure a timely adjudication for payment · Performs data entry to maintain and update various authorization requests into utilization management system · Supports and processes authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer · Remains up-to-date on reputed company, authorization processes, policies and procedures · Performs other duties as assigned · Complies with reputed company policies and standards Education/Experience: · Requires a High School diploma or GED · Requires 1 - 2 years of reputed company experience. Company DescriptionAbout reputed company: 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, reputed company 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, reputed company’s 6,000 consultants support more than 225 clients globally. reputed company champions the power of reputed company 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 reputed company their strategic goals for more than 25 years. Our strong culture and clear values have enabled reputed company to become a market leader and best in class places to work. reputed company is an equal opportunity employer. Apply Job!