Authorization Specialist
Company: VirtualVocations
Location: Tulsa
Posted on: January 28, 2025
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Job Description:
A company is looking for an Authorization Specialist III to
support the prior authorization request process within the
utilization management team.
Key Responsibilities
Tracks and maintains authorization requests and routes them to the
appropriate clinical reviewer
Verifies member insurance coverage and aligns authorization with
guidelines for timely payment adjudication
Acts as a subject matter expert for the authorization process and
maintains relationships with service providers and clinical
reviewers
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Strong knowledge of medical terminology and insurance
Ability to work a flexible schedule, including evenings, weekends,
or holidays
Familiarity with healthcare authorization processes, policies, and
procedures
Keywords: VirtualVocations, Fort Smith , Authorization Specialist, Other , Tulsa, Arkansas
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here to apply!
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