Healthcare Authorization Representative

2 weeks ago


Missouri City, Missouri, United States BCforward Full time
Authorization Specialist

Company Overview:
BC Forward is seeking an Authorization Specialist to join our remote team.

Position Title:
Authorization Specialist

Location:
Remote

Contract Duration:
3+ months with potential for hire

Work Schedule:
Sunday - Friday, 12:00pm - 8:30pm CST

Compensation:
$17.00/hr. on W2

Role Overview:
The Authorization Specialist plays a crucial role in managing prior authorization requests, ensuring that all submissions are processed accurately and within the required timelines.

This position supports the utilization management team by documenting authorization requests and securing timely and precise information regarding healthcare eligibility and access for members.


Qualifications:
  • High School diploma or GED required.
  • Entry-level role, typically requiring minimal prior experience.
  • Familiarity with medical terminology and insurance processes is advantageous.
  • Assists in processing authorization requests in line with the insurance prior authorization criteria.

Key Responsibilities:
  • Facilitates data entry to maintain and update authorization requests within the utilization management system.
  • Collaborates with the utilization management team to track and document authorizations and referrals according to established policies and guidelines.
  • Contributes to the authorization review process by accurately documenting necessary medical information, including patient history, diagnosis, and prognosis, for clinical review.
  • Stays informed about healthcare trends, authorization protocols, policies, and procedures.
  • Performs additional duties as assigned and adheres to all organizational policies and standards.

Employee Benefits:
BCforward provides eligible employees with a comprehensive benefits package, which includes major medical, HSA, dental, vision, group life insurance, voluntary life insurance, short-term and long-term disability, and a 401k plan.

About BCforward:
Established in 1998, BCforward is a Black-owned firm dedicated to delivering professional services and workforce management solutions that empower organizations globally.

With headquarters in Indianapolis, IN, and an Offshore Development Center in Hyderabad, India, our team of over 6,000 consultants supports more than 225 clients worldwide.

BCforward is committed to harnessing human potential to assist companies in transforming, accelerating, and scaling their operations. Our core values—People-Centric, Optimism, Excellence, Diversity, and Accountability—guide our efforts to help clients achieve their strategic objectives.

As an equal opportunity employer, BCforward welcomes applications from all qualified individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status, and does not discriminate based on disability.



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