Authorization Specialist I

7 days ago


Jefferson City, Missouri, United States BCforward Full time
Job Title: Authorization Specialist I

BCforward is seeking a highly skilled Authorization Specialist I to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that all authorization requests are addressed properly and in a timely manner.

Job Summary:

The Authorization Specialist I will be responsible for supporting the prior authorization request process, documenting authorization requests, and obtaining accurate and timely documentation for services related to member healthcare eligibility and access. This role requires strong data entry skills, medical background, and attention to detail.

Key Responsibilities:
  • Data entry: Enter claim forms into the system, pulling information from the claim form and submitting it into the database.
  • Member data submission: Submit member data into the database.
  • Team process: Work with a team to process 15,000 claims per day.
  • Quality standards: Meet monthly quality standards of 98%.
  • Internal SLA: Complete and upload each claim form within 2 hours of receipt.
Requirements:
  • Data entry skills: Type for 8 hours a day.
  • Medical background: Understanding of medical terminology and insurance.
  • Education: High School diploma or GED.
  • Experience: Entry-level position with little or no previous experience.
Benefits:

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. To learn more about our company culture and values, please visit our website.



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