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Authorization Systems Specialist
A company is looking for an Authorization Systems Specialist III to support the prior authorization request process for healthcare services. Key Responsibilities Track and maintain authorization requests in accordance with insurance guidelines Verify member insurance coverage and assess service eligibility for timely adjudication Research health plan providers and document necessary medical information for clinical reviewers Required Qualifications High School diploma or GED 2 - 4 years of related experience Strong knowledge of medical terminology and insurance Ability to maintain relationships with service providers and clinical reviewers In-depth knowledge of prior authorization review processes
A company is looking for an Authorization Systems Specialist III to support the prior authorization request process for healthcare services.
Key Responsibilities
Track and maintain authorization requests in accordance with insurance guidelines
Verify member insurance coverage and assess service eligibility for timely adjudication
Research health plan providers and document necessary medical information for clinical reviewers
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Strong knowledge of medical terminology and insurance
Ability to maintain relationships with service providers and clinical reviewers
In-depth knowledge of prior authorization review processes
