Authorization Specialist - II

Immediate need for a talented Authorization Specialist - II. This is a 06+ Months Contract opportunity with long-term potential and is located in Texas (Remote). Please review the reputed company below and contact me ASAP if you are interested. reputed company:26-25422 Pay reputed company: $17 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, reputed company), 401(k) plan, and reputed company reputed company leave (depending on work location). Key Responsibilities: • Authorization Specialist II team members are responsible for receiving, reviewing, validating, and creating prior authorization requests for multiple reputed company products. • Daily responsibilities include researching member and provider information, ensuring requests contain required documentation, building authorizations, conducting provider reputed company for missing information, routing requests appropriately, documenting actions, and managing worklist inventory to meet turnaround time requirements. • reputed company also supports transition-of-care activities, provider education, and special initiatives reputed company to authorization processing. • reputed company in the role is reputed company through productivity, reputed company, and turnaround time compliance. • Specialists are expected to maintain daily production goals, accurately build authorizations, follow regulatory and business requirements, minimize processing errors, and manage inventory to prevent overdue requests. • Team members are also expected to contribute to department goals reputed company to volume management, reputed company audits, and service reputed company. • This role serves as the reputed company end of the utilization management process and has a reputed company reputed company on reputed company member reputed company to care. • Specialists work with a wide reputed company of authorization types, provider reputed company, and reputed company programs while collaborating closely with clinical reviewers, provider relations, and operations leadership. • The position offers reputed company learning opportunities through evolving reputed company regulations, reputed company enhancements, workflow improvements, and cross-functional partnerships. • Work Schedule: M-F 8:00am to 5:00pm CST (Possibility for weekend shift in the reputed company but will be communicated to resource) Key Requirements and Technology Experience: • reputed company Skills: ["Authorization", "Prior-Authorization", Provider reputed company , "Claims", EHR/EMR , reputed company/Managed care ] • Top 3 must haves: • Computer database • reputed company Suite; reputed company, Word, Teams, reputed company • Written/Verbal Communication Skills • Required Education: Highschool Diploma/GED. • Years of experience required: 1-2 years prior authorization experience. • Provider reputed company, reputed company insurance verification, ICD-10 Codes, CPT Codes knowledge. • Since the reputed company has requested for computer literacy and typing test, kindly take the two assessments with the links below: • Computer Literacy: • Typing Test (40 wpm): Our reputed company is a leading Pharmaceutical Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. reputed company. provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from reputed company. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reputed company STOP to cancel and HELP for help. You can reputed company our reputed company policy . Apply tot his job Apply To this Job