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Authorization Specialist II

2 months ago

Sacramento, California, United States Centene Corporation Full time
{"title": "Authorization Specialist II", "description": "Job Summary

Centene Corporation is seeking a highly skilled Authorization Specialist II to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring that all authorization requests are addressed properly in the contractual timeline.

Key Responsibilities
  • Supports the prior authorization request process to ensure timely and accurate documentation.
  • Collaborates with the utilization management team to document authorization requests and obtain necessary medical information.
  • Verifies member insurance coverage and/or service/benefit eligibility via system tools.
  • Performs data entry to maintain and update various authorization requests into the utilization management system.
  • Supports and processes authorization requests for services in accordance with the insurance prior authorization list.
Requirements
  • High School diploma or GED required.
  • 1-2 years of related experience preferred.
  • Knowledge of medical terminology and insurance preferred.
What We Offer

Centene Corporation 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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.", "lang_code": "en"}