Authorization Specialist I
Bcforward
Authorization Specialist IBCforward is currently seeking a highly motivated Authorization Specialist I Job for an opportunity in Remote Florida Position: Authorization Specialist I
Worksite: Remote FL
Duration: 9+ Months
Pay Rate: $19/hour on W2Position Purpose:
The Prior Authorization Support Specialist assists in processing prior authorization requests, ensuring they are addressed promptly and accurately within contractual timelines. This role supports the utilization management team by ensuring the correct documentation is obtained for healthcare services related to member eligibility and access.Education/Experience: High School Diploma or GED required Entry-level position, typically requiring minimal prior experience Basic understanding of medical terminology and insurance preferred Key Responsibilities: Support and perform data entry to maintain and update authorization requests in the utilization management system. Assist the utilization management team in tracking and documenting authorizations and referrals, adhering to established policies and guidelines. Contribute to the authorization review process by gathering necessary medical information (e.g., history, diagnosis, prognosis) and ensuring it's submitted to clinical reviewers for authorization determinations. Stay current on healthcare industry trends, prior authorization processes, policies, and procedures. Perform additional tasks as assigned, while ensuring adherence to all relevant policies and standards. Skills & Qualifications: Strong attention to detail and ability to manage multiple tasks efficiently. Clear and effective communication skills, both written and verbal. Proficiency in Microsoft Office or equivalent software programs. Ability to maintain confidentiality and handle sensitive information appropriately.
About BCforward: Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally. 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. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work. BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Worksite: Remote FL
Duration: 9+ Months
Pay Rate: $19/hour on W2Position Purpose:
The Prior Authorization Support Specialist assists in processing prior authorization requests, ensuring they are addressed promptly and accurately within contractual timelines. This role supports the utilization management team by ensuring the correct documentation is obtained for healthcare services related to member eligibility and access.Education/Experience: High School Diploma or GED required Entry-level position, typically requiring minimal prior experience Basic understanding of medical terminology and insurance preferred Key Responsibilities: Support and perform data entry to maintain and update authorization requests in the utilization management system. Assist the utilization management team in tracking and documenting authorizations and referrals, adhering to established policies and guidelines. Contribute to the authorization review process by gathering necessary medical information (e.g., history, diagnosis, prognosis) and ensuring it's submitted to clinical reviewers for authorization determinations. Stay current on healthcare industry trends, prior authorization processes, policies, and procedures. Perform additional tasks as assigned, while ensuring adherence to all relevant policies and standards. Skills & Qualifications: Strong attention to detail and ability to manage multiple tasks efficiently. Clear and effective communication skills, both written and verbal. Proficiency in Microsoft Office or equivalent software programs. Ability to maintain confidentiality and handle sensitive information appropriately.
About BCforward: Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally. 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. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work. BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 234634 when responding to this ad.
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