Authorization Specialist II

Job Summary

Supporting the prior authorization request process, the full-time Authorization Specialist II will assist the utilization management team in documenting requests and ensuring timely processing of healthcare services while working remotely from Missouri.

Key responsibilities

• Aids the utilization management team by tracking and documenting authorizations and referrals according to policies and guidelines
• Researches and documents necessary medical information to support the authorization review process for clinical determination
• Verifies member insurance coverage and service eligibility, ensuring timely adjudication for payment

Required qualifications

• High School diploma or GED
• 1 - 2 years of related experience
• Knowledge of medical terminology and insurance preferred
• Must be located in Missouri and authorized to work in the U.S. without sponsorship