Senior Authorizations Associate

Job Summary

Owning the end-to-end authorization workflow, the remote Senior Authorizations Associate will manage referral validations, post-service authorizations, and compliance follow-ups within strict regulatory timeframes to ensure timely service delivery for participants.

Key responsibilities

• Process all referrals and authorizations accurately and within regulatory deadlines
• Track authorization timelines and ensure compliance with internal turnaround times
• Collaborate with local care teams to route requests for clinical review and resolve authorization-related discrepancies

Required qualifications

• Associate's degree or equivalent experience with 2+ years in prior authorization, referral coordination, or healthcare administration
• Preferred Bachelor's degree in healthcare administration or related field
• Working knowledge of medical terminology, health insurance benefits, and authorization processes
• Experience with electronic health records and authorization management systems
• Ability to manage multiple deadlines and adapt to changes in a fast-paced environment