Authorization Specialist

4 weeks ago


Clarkson Valley, Missouri, United States BCforward Full time
Job Title: Authorization Specialist

BCforward is seeking a highly motivated Authorization Specialist to support our team in a remote work arrangement. This is a contract-to-hire opportunity with a duration of 12+ months, offering a competitive pay rate of $17.00/hr on a W2 basis.

Job Summary:

The Authorization Specialist will play a crucial role in supporting the prior authorization request process, ensuring that all requests are addressed properly and within the contractual timeline. This individual will aid the utilization management team in documenting authorization requests and obtaining accurate and timely documentation for services related to member healthcare eligibility and access.

Key Responsibilities:
  • Data entry: The Authorization Specialist will be responsible for typing all day long, with a typing speed of 60-70 WPM, and entering data into the system.
  • Typing test: A typing test with a score card is required, with a minimum typing speed of 50 WPM.
  • Medical background: A medical background is preferred, with a strong understanding of medical terminology and insurance.
Requirements:
  • High School diploma or GED
  • Entry-level position with little or no previous experience
  • Understanding of medical terminology and insurance
  • Supports authorization requests for services in accordance with the insurance prior authorization list
  • Responsibilities: 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
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.

About BCforward:

Founded in 1998, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. With a strong culture and clear values, BCforward has become a market leader and best in class place to work.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years.



  • Valley Park, Missouri, United States Sunrise Telecom Full time

    Job Summary: We are seeking a skilled Aerial Fiber Construction Specialist to join our team at Sunrise Telecom, Inc. As a key member of our team, you will be responsible for constructing strand infrastructure and lashing fiber cables to strand.Key Responsibilities:Operate bucket trucks and other equipment related to aerial fiber constructionSet up job sites,...


  • Valley Park, Missouri, United States STROM MINNESOTA Full time

    Job Title: Swiss MachinistCompany: Strom MinnesotaWe are seeking a skilled Swiss Machinist to join our team in the Twin Cities area. The ideal candidate will have a minimum of 2 years of experience in operating Swiss Citizen L20 and/or A32 machines.Duties and Responsibilities:Operate Swiss Citizen L20 and/or A32 machines to produce high-quality machined...


  • Valley Center, Kansas, United States Bryan Health Full time

    The Bryan Health Pre-Authorization Specialist plays a vital role in ensuring that patients receive the necessary medical services by verifying demographic information, insurance benefits, and obtaining prior authorization for scheduled medical services. This position requires strong problem-solving skills to assist patients in accessing cultural and...

  • IT Support Specialist

    1 month ago


    Lehigh Valley, United States Motion Recruitment Partners, LLC Full time

    A managed service provider company looking to add an IT Support Specialist to their team. This role is fully onsite and located in the Lehigh Valley area of PA. This IT Support Specialist role is looking for a person with string device support and management experience, along with ticketing system and customer support experience. If you are a natural born...

  • Cleaning Specialist

    4 weeks ago


    Spring Valley, Nevada, United States ABM Industries Full time

    Job SummaryWe are seeking a skilled Cleaning Specialist to join our team at ABM Industries. As a Cleaning Specialist, you will be responsible for maintaining the cleanliness and organization of our facilities, ensuring a safe and healthy environment for our employees and clients.Key Responsibilities:Clean and maintain buildings and facilities, including...


  • Spring Valley, Nevada, United States Allergy and ENT Associates Full time

    Job Title: Allergy Nurse SpecialistJob Summary:We are seeking a skilled Allergy Nurse Specialist to join our team at Allergy and ENT Associates. As a key member of our healthcare team, you will provide high-quality nursing care services to our patients, working collaboratively with physicians and other healthcare professionals to deliver exceptional patient...


  • Spring Valley, Nevada, United States SCHRYVER LOGISTICS USA INC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Financial Support Specialist to join our team at SCHRYVER LOGISTICS USA INC. The successful candidate will provide administrative support to the Accounting Manager, ensuring the smooth operation of daily financial and administrative duties.The ideal candidate will possess basic accounting...


  • Sun Valley, United States Volunteers of America Los Angeles Full time

    Data Quality Specialist Location:Sun Valley, CA Job ID:2557 Salary:$23.09 - $24.3 Per Hour Area of Interest:Evaluation and Monitoring Division:Adult Services Shift Type:Day About Us: VOALA Helping Our Most Vulnerable Change Their Life Stories Volunteers of America is a non-profit human services organization committed to serving people in need,...

  • Waxing Specialist

    4 weeks ago


    Happy Valley, Oregon, United States Sugaring NYC Full time

    Be a Part of Our Team at Sugaring NYCWe are seeking a skilled and motivated Esthetician to join our team at Sugaring NYC. As a Waxing Specialist, you will be responsible for providing exceptional customer service and delivering high-quality sugaring services to our clients.Key Responsibilities:Provide excellent customer service and ensure a positive...


  • Castro Valley, California, United States US Oncology Network-wide Career Opportunities Full time

    Medical Oncology Specialist OpportunityWe are seeking a highly skilled and compassionate Medical Oncology Specialist to join our team at US Oncology Network-wide Career Opportunities. As a key member of our healthcare team, you will provide exceptional patient care and support to individuals with cancer and blood disorders.Responsibilities:Deliver...


  • Fountain Valley, California, United States UCI Health Full time

    Job Title: Registered Nurse (RN)Job Specialty: Case ManagerJob Duration: 13 weeksShift: AM 8.00 Hours, includes some weekend shiftsGuaranteed Hours: Not specifiedExperience: Not specifiedLicense: Active RN LicenseCertifications: Not specifiedMust-Have: Not specifiedJob Summary: As a Clinical Utilization Review Specialist, you will perform comprehensive...


  • Valley Center, Kansas, United States Equiliem Full time

    Job SummaryThe Technical Documentation Specialist is responsible for creating high-quality technical documentation for the Medical Service and Quality Management teams. This includes designing, writing, testing, and delivering documentation that meets regulatory requirements.Key Responsibilities:Maintain a working knowledge of products and processes to...

  • Validation Specialist

    4 weeks ago


    Spring Valley, New York, United States Strides Pharma Inc Full time

    Job DescriptionStrides Pharma Inc is seeking a skilled Validation Specialist to join our Engineering Department. As a pivotal member of the team, you will operate both independently and collaboratively to author and execute IQ/OQ/PQ protocols, engineering studies, and facility qualifications.Key Responsibilities:Ensure adherence to manufacturing...


  • Spring Valley, Nevada, United States Catholic Health Initiatives Full time

    Job SummaryAs a Healthcare Insurance Verification Specialist at Catholic Health Initiatives, you will play a critical role in ensuring that patients receive the necessary care while minimizing financial burdens. Your primary responsibility will be to verify patients' insurance information and obtain authorization prior to scheduled visits, adhering to HIPAA...

  • Data Entry Specialist

    4 weeks ago


    Deer Valley, Arizona, United States BCForward Full time

    Job SummaryWe are seeking a highly skilled Data Entry Specialist to join our team at BCforward. As a Data Entry Specialist, you will be responsible for accurately and efficiently entering data into our project cost tracking system(s).Key Responsibilities:Identify and drive entry of projects across functional sitesReview and process information, approval, and...


  • Portola Valley, United States Epic Special Education Staffing Full time

    ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the nation’s schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today to join our family.POSITION...


  • Spring Valley, Nevada, United States Saxon Global Full time

    We are seeking a highly skilled Cybersecurity Specialist to join our team at Saxon Global. The ideal candidate will have a strong background in penetration testing and vulnerability assessment, with a focus on web and thick-client applications.The successful candidate will have a minimum of 2 years' experience in penetration testing and vulnerability...


  • Moreno Valley, California, United States Granite Construction Full time

    Pump Installation SpecialistAt Granite Construction, we are seeking a skilled Pump Installation Specialist to join our team. As a Pump Installation Specialist, you will be responsible for the installation, troubleshooting, and repair of submersible and turbine pumps used in water wells.Key Responsibilities:Install, troubleshoot, and repair submersible and...


  • Valley Center, Kansas, United States Paradigm Oral Surgery Full time

    Credentialing and Licensure SpecialistThe Credentialing and Licensure Specialist plays a critical role in maintaining the active status of all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, and commercial payers.Key Responsibilities:Maintain compliance with all regulatory and...


  • Pauma Valley, California, United States Casino Pauma Full time

    Job SummaryAre you detail-oriented and organized? Are you able to work independently and as part of a team? Do you have a passion for inventory management? If so, we want to hear from you!As an Inventory Management Specialist at Casino Pauma, you will be responsible for maintaining and tracking inventory levels, providing for efficient receipt and recording...


  • Valley Center, Kansas, United States State of Nebraska Full time

    Job SummaryWe are seeking a skilled Vehicle Installation Specialist to join our team at the State of Nebraska. As a key player in ensuring our vehicles are equipped with state-of-the-art technology, you will be responsible for installing and removing equipment, repairing and maintaining high-tech systems, and traveling statewide for installations and...


  • Scotts Valley, United States Zero Motorcycles Full time

    Summary of PositionZero Motorcycles Inc. is seeking a highly motivated Senior Logistics Analyst to join our supply chain team in Scott's Valley, CA. The successful candidate will coordinate and manage 3PL execution of outbound and inbound shipments to and from our factories and distribution centers globally. In addition, he/she will own data analytics,...