Current jobs related to Authorization Specialist I - Oklahoma City - Centene Corporation
-
Clinical Authorization Specialist
2 weeks ago
Oklahoma City, Oklahoma, United States National Health Care Solutions Full timeJob Summary:We are seeking a highly skilled and detail-oriented Clinical Authorization Specialist to join our team at National Health Care Solutions. As a Clinical Authorization Specialist, you will play a critical role in ensuring the efficient and effective processing of prior authorizations for medications.Key Responsibilities:Approve, dismiss, or...
-
Compensation Authorization Coordinator
3 weeks ago
Garden City, New York, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen Medical Specialist Group is a leading orthopedic practice in the region, boasting 20 locations across various counties. With over 25 years of experience, we are proud to employ more than 1200 dedicated healthcare professionals. Our team members benefit from competitive salaries, outstanding medical benefits, and generous paid time off. We are...
-
Clinical Pharmacist
6 days ago
Oklahoma City, Oklahoma, United States National Health Care Solutions Full time{"title": "Clinical Pharmacist - Prior Authorization Specialist", "content": "Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team as a Prior Authorization Specialist. In this role, you will be responsible for reviewing and managing prior authorization requests for medications, ensuring that our clients receive the best possible...
-
Clinical Pharmacist
2 weeks ago
Oklahoma City, Oklahoma, United States National Health Care Solutions Full timeAbout the RoleWe are seeking a highly skilled Clinical Pharmacist to join our team at National Health Care Solutions. As a Clinical Pharmacist - Prior Authorization Specialist, you will play a critical role in ensuring the accuracy and efficiency of our prior authorization process.Key ResponsibilitiesDocument Review and Management: Review, create, and...
-
Biomedical Equipment Repair Specialist
2 weeks ago
Kansas City, Missouri, United States Capital I, LLC Full timeJob Summary:Capital I, LLC is seeking a highly skilled Biomedical Equipment Repair Specialist to join our team. As a Biomedical Equipment Repair Specialist, you will be responsible for performing operational and safety testing, maintenance, and repairs on patient care equipment.Key Responsibilities:Perform technical inspections of new, used, or reconditioned...
-
Medical Authorization Representative
3 weeks ago
Garden City, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO. We are...
-
Medical Authorization Representative
3 weeks ago
Garden City, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are...
-
Medical Authorization Representative
1 week ago
Garden City, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO. We are...
-
Medical Authorization Representative
3 weeks ago
Garden City, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are...
-
Medical Authorization Representative
3 weeks ago
Garden City, NY, United States Orlin & Cohen Medical Specialist Group Full timeOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are...
-
Academic Support Specialist I
3 weeks ago
Oklahoma City, Oklahoma, United States InsideHigherEd Full timeAcademic Support Specialist I - Senior Academic Support Specialist IIPosition Type: Staff Full-TimeLocation: RemoteKey Responsibilities:Act as a liaison for students' academic requirementsAssist students in navigating their educational journeyOffer comprehensive support to enhance student successQualifications:Bachelor's Degree in a relevant...
-
Resource Family Specialist I/II/III
2 weeks ago
Oklahoma City, United States Oklahoma Human Services Full timeJob DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
-
Resource Family Specialist I/II/III
3 days ago
Oklahoma City, United States Oklahoma Human Services Full timeJob DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
-
Prior Authorization Specialist
3 weeks ago
new york city, United States Tandym Group Full timeA Health Care Start-up is seeking a Prior Authorization Specialist based in NYC.Worksite Setting: On-site office, but may switch to remote/hybrid down the road.Worksite location(s): SoHo NYCSchedule: Full time day flexible, minimum 20 hrs/week (weekdays only)JOB Description:Start Date: ImmediateKey Responsibilities* Complete prior authorization requests...
-
Prior Authorization Specialist
3 weeks ago
new york city, United States Tandym Group Full timeA Health Care Start-up is seeking a Prior Authorization Specialist based in NYC.Worksite Setting: On-site office, but may switch to remote/hybrid down the road.Worksite location(s): SoHo NYCSchedule: Full time day flexible, minimum 20 hrs/week (weekdays only)JOB Description:Start Date: ImmediateKey Responsibilities* Complete prior authorization requests...
-
Insurance Authorization Specialist
3 weeks ago
Maury City, Tennessee, United States Maury Regional Hospital Full timeTitle: Pre-Certification Specialist Location: Maury Regional Medical Center Position Shift: Full Time 8:30a-5p Position Overview:The Pre-Certification Specialist is responsible for a range of technical competencies, including: comprehensive understanding of office technology, computer systems, and insurance platforms. In-depth knowledge of various healthcare...
-
Child Welfare Specialist I/II/III
4 weeks ago
Oklahoma City, United States Oklahoma Human Services Full time $37,280 - $43,968Job DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
-
Child Welfare Specialist I/II/III
4 weeks ago
Oklahoma City, United States Oklahoma Human Services Full time $37,280 - $43,968Job DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
-
Child Welfare Specialist I/II/III
2 weeks ago
Oklahoma City, United States Oklahoma Human Services Full timeJob DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
-
Child Welfare Specialist I/II/III
3 days ago
Oklahoma City, United States Oklahoma Human Services Full timeJob DescriptionJob DescriptionThis position is located in Oklahoma City, Oklahoma.Working in Child Welfare for Oklahoma's largest state agency means having the opportunity to positively impact the safety and well-being of children and families for generations to come. If you have a passion for social work and making a difference in your local community,...
Authorization Specialist I
4 months ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Candidates must live and reside in Oklahoma. Must be able to work Tuesday-Saturday each week.
**Oklahoma Complete Health** , a **Centene** company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.
At **Oklahoma Complete Health** , we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.
**Position Purpose:** Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
+ 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
**Education/Experience:** Requires a High School diploma or GED. Entry-level position typically requiring little or no previous experience. Understanding of medical terminology and insurance preferred.
Pay Range: $15.68 - $22.54 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.