Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist II to support the prior authorization request process and ensure timely documentation and eligibility verification for member healthcare services.

Key Responsibilities

• Aids the utilization management team by tracking and documenting authorizations and referrals according to policies
• Researches and documents medical information for authorization reviews, assisting clinical reviewers in decision-making
• Verifies member insurance coverage and updates authorization requests in the utilization management system

Required Qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Knowledge of medical terminology and insurance is preferred