Authorization Specialist II
1 week ago
BCforward is seeking a highly skilled Authorization Specialist II to join our team. As a key member of our healthcare team, you will play a critical role in supporting the prior authorization request process to ensure timely and accurate documentation for services related to member healthcare eligibility and access.
Job Summary:The Authorization Specialist II will work closely with the utilization management team to document authorization requests and obtain accurate and timely documentation for services related to member healthcare eligibility and access. This role requires strong analytical and communication skills, as well as the ability to work effectively in a fast-paced environment.
Key Responsibilities:- Support the prior authorization request process to ensure timely and accurate documentation for services related to member healthcare eligibility and access.
- Work closely with the utilization management team to document authorization requests and obtain accurate and timely documentation for services related to member healthcare eligibility and access.
- Review authorization requests from providers and ensure that all necessary information is included.
- Communicate with providers to gather additional information or clarify any discrepancies.
- Perform data entry to maintain and update various authorization requests into the utilization management system.
- Support and process authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer.
- 1-2 years of related experience in healthcare or a related field.
- Strong analytical and communication skills.
- Ability to work effectively in a fast-paced environment.
- Detail-oriented and organized with excellent time management skills.
- Strong understanding of computers and technology.
- Knowledge of medical terminology and insurance preferred.
BCforward offers a comprehensive benefits package, including major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
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