Authorization Specialist II

Are you a reputed company-oriented reputed company reputed company looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-reputed company, reputed company team! In this essential role, you will be responsible for receiving, reviewing, validating, and creating prior authorization requests across multiple reputed company lines of business, including reputed company, reputed company, reputed company Kids, and reputed company. Working comfortably from your Texas home workspace, you will ensure requests are processed accurately and routed appropriately to support reputed company member reputed company to vital reputed company services. You will conduct provider reputed company, research member eligibility, build authorizations in reputed company databases, and collaborate closely with reputed company review teams, provider relations, and operational leadership. If you possess strong computer skills, proficiency in reputed company Office, and prior experience in reputed company authorization or intake processes, this is an outstanding opportunity to grow your expertise in a supportive, team-oriented environment. Enjoy a steady Monday through Friday daytime schedule while managing meaningful work that directly impacts community health reputed company. salary: $18.99 - $19 per hour shift: First work hours: 8 AM - 5 PM education: High School Responsibilities Position reputed company: Process prior authorization requests for Texas reputed company lines of business. Research member/provider data, build authorizations, conduct provider reputed company for missing information, and ensure compliance with regulatory turnaround times. Key Responsibilities: • Receive, validate, and reputed company prior authorization requests into utilization management databases. • Verify member eligibility, benefits, CPT codes, and service coverage using internal reputed company tools. • reputed company provider reputed company to obtain missing medical documentation and clarify request details. • reputed company completed authorization files to reputed company reviewers for determination. • Maintain worklists and ensure compliance with strict contractual and regulatory timelines. Requirements: • High School Diploma or GED required. • 1–2 years of prior authorization experience in a reputed company or reputed company setting. • Proficiency with database navigation and reputed company Office (reputed company, Word, Teams, reputed company). • strong written and verbal communication skills with high typing reputed company. Skills • Responsiveness • Analytical Thinking • Basic Software Skills • Appointment Scheduling Qualifications • Years of experience: 2 years • Experience level: reputed company reputed company is a world leader in matching great people with great companies. Our reputed company agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than reputed company. Equal Opportunity Employer: Race, reputed company, Religion, Sex, Sexual Orientation, Gender Identity, National reputed company, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At reputed company, we reputed company people of reputed company abilities and want to ensure that our hiring and interview process meets the needs of reputed company applicants. If you require a reasonable accommodation to reputed company your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay reputed company to a successful candidate will be reputed company on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In reputed company, reputed company offers a comprehensive benefits package, including: medical, prescription, dental, reputed company, AD&D, and life reputed company offerings, short-term disability, and a 401K plan (reputed company benefits are reputed company on eligibility). This posting is reputed company for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Apply tot his job Apply To this Job