Authorization Specialist III
Company: VirtualVocations
Location: Macon
Posted on: November 18, 2024
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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 for services in
accordance with insurance guidelines
Verifies member insurance coverage and performs data entry for
complex authorization requests
Acts as a subject matter expert on the authorization process and
maintains relationships with service providers
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Strong knowledge of medical terminology and insurance
In-depth knowledge of prior authorization review processes
Ability to research health plan providers and policies
Keywords: VirtualVocations, Columbus , Authorization Specialist III, Other , Macon, Georgia
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