Medicare Authorization Specialist

Job Summary

Supporting the prior authorization process, the full-time remote Medicare Authorization Specialist will manage authorization requests, perform data entry, and assist the utilization management team in documenting healthcare eligibility and access.

Key responsibilities

• Supports authorization requests for services in accordance with the insurance prior authorization list
• Performs data entry to maintain and update authorization requests in the utilization management system
• Assists with tracking and appropriate documentation on authorizations and referrals in line with policies and guidelines

Required qualifications

• High School diploma or GED required
• Entry-level position with little or no previous experience needed
• Understanding of medical terminology and insurance preferred
• Medicare experience preferred