Authorization Specialist I

Job title: Authorization Specialist I in Katy, TX at
Company:
Job description: Immediate need for a talented Authorization Specialist 1. This is a 12+ months contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID: 25-70130Pay Range: $15.50 - $16/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:

• Pay Rate: We now work 7 days a week.
• We are needing recruits with OPEN availability: •
• Monday - Friday - 6 am to 7 pm CST •
• Saturday - 7 am to 5 pm CST • Sunday, 7:30 pm - 4:30 pm CST
• 30 days no time off (Yes about 10 hours)
• Kindly take any of the two assessments below for the typing
• Typing Test (1min) 50 WPM

[Link available when viewing the job] * Typing Test (2min) 50 WPM[Link available when viewing the job] * Receive faxes, triage them, and send out to the appropriate teams within the client.

• Supporting intake department to streamline the intake process
• Candidate needs to be comfortable typing fast and inputting data through the day.
• Enters pertinent claims information from source documents.
• Corrects entries were indicated.
• Maintains appropriate records, files, documentation, etc.
• Processing for teams including Concurrent Review, Behavioral Health, and Medicare, etc. - department is open 7 days/week because of this level of exposure to the business
• Supports authorization requests for services in accordance with the insurance prior authorization list.
• Supports and performs data entry to maintain and update authorization requests into utilization management system.
• Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines.
• Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination.
• Remains up to date on healthcare, authorization processes, policies, and procedures.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Monday -Friday 6am -7pm CST schedule, with Weekend availability as expectation is when done with 90 days ramp up, will take weekend shift
• Hour of operation for this role are weekdays Receive faxes, triage them, and send out to the appropriate teams within Client •
• Candidate needs to be comfortable typing fast and inputting data through the day • Enters pertinent claims information from source documents • WFH Experience with Teams chat and Outlook available for communication

Key Requirements and Technology Experience:

• Key skills; Data Entry, Health Care, Authorizations.
• High school diploma REQUIRED due to possibility of conversion later.
• 50 WPM typing speed, 10,000 keystrokes per hour/ open availability for week/weekends.
• 3 months to 1 year of data processing or clerical experience preferred but not required.
• Non open availability/ Non reliable internet connection.
• 10,000 Keystrokes alphanumeric per hour needed = between 50 - 60 WPM. Typing test needs to be attached to resume
• Ability to be punctual and reliable on the job
• Familiar with 10 Key , (Right side of keyboard with numbers)

Our client is a leading Healthcare 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.Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, 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 Pyramid Consulting, Inc. 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 reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].
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Expected salary: $15.5 - 16 per hour
Location: Katy, TX
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