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Authorization Specialist III
A company is looking for an Authorization Specialist III to support the prior authorization request process within the utilization management team. Key Responsibilities Tracks and maintains authorization requests for services according to insurance guidelines Verifies member insurance coverage and assesses service eligibility for timely payment adjudication Acts as a subject matter expert and provides guidance on the authorization review process Required Qualifications High School diploma or GED required 2 - 4 years of related experience required Strong knowledge of medical terminology and insurance Ability to maintain relationships with service providers and clinical reviewers Familiarity with healthcare authorization processes, policies, and procedures
A company is looking for an Authorization Specialist III to support the prior authorization request process within the utilization management team.
Key Responsibilities
Tracks and maintains authorization requests for services according to insurance guidelines
Verifies member insurance coverage and assesses service eligibility for timely payment adjudication
Acts as a subject matter expert and provides guidance on the authorization review process
Required Qualifications
High School diploma or GED required
2 - 4 years of related experience required
Strong knowledge of medical terminology and insurance
Ability to maintain relationships with service providers and clinical reviewers
Familiarity with healthcare authorization processes, policies, and procedures