Authorization Specialist I

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🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $16 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Support prior authorization requests and ensure they are addressed properly within contractual timelines • Aid the utilization management team in documenting authorization requests • Obtain accurate and timely documentation for member healthcare eligibility and access • Support authorization requests according to the insurance prior authorization list • Perform data entry to maintain and update authorization requests in the utilization management system • Assist with tracking and documenting authorizations and referrals according to policies and guidelines • Document medical information including history, diagnosis, and prognosis for clinical reviewer determination • Stay up-to-date on healthcare, authorization processes, policies, and procedures • Perform other assigned duties • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without current or future employment-based visa sponsorship • High School diploma or GED required • Entry-level position requiring little or no previous experience • Understanding of medical terminology preferred • Understanding of insurance preferred • Must be flexible to work weekend hours

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation