Prior Authorization Specialist jobs

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14 Prior Authorization Specialist roles

Authorization Specialist I
Remote
Centene
Remote-ILPosted today
Utilization Management Rep II
Elevance Health
Waukesha, WIPosted today
Authorization Specialist III
Remote
Centene
Remote-ARPosted yesterday
Authorization Coordinator II
Sutter Health
EmeryvillePosted yesterday
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Insurance Authorization Specialist
ThedaCare
Orthopedic Spine and Pain ClinicPosted 4 days ago
Referral and Authorization Coordinator, Access, Full-Time, Days
MarinHealth
Novato, CAPosted 5 days ago
Utilization Management Rep I
Elevance Health
5 LocationsPosted 8 days ago
Authorization Representative II
Elevance Health
4 LocationsPosted 11 days ago
Pharmacy Authorization Representative II - BioPlus Specialty Pharmacy
Elevance Health
FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000Posted 11 days ago
Authorization Representative I - BioPlus Specialty Pharmacy
Elevance Health
CO-DENVER, 700 BROADWAYPosted 11 days ago
Authorization Representative I - BioPlus Specialty Pharmacy
Elevance Health
3 LocationsPosted 11 days ago
Authorization Representative I - BioPlus Specialty Pharmacy
Elevance Health
FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000Posted 11 days ago

Remote

Prior Authorization Specialist

Authorization Specialist I

Company: Centene
Location: Remote-IL
Posted: Posted today

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The job

Position Purpose: Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Supports authorization requests for services in accordance with the insurance prior authorization list
Supports and performs data entry to maintain and update authorization requests into utilization management system
Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines
Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination
Remains up-to-date on healthcare, authorization processes, policies and procedures
Performs other duties as assigned
Complies with all policies and standards

Education/Experience: Requires a High School diploma or GED. Entry-level position typically requiring little or no previous experience. Understanding of medical terminology and insurance preferred.

Pay Range: $16.35 - $23.46 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene 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 , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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

Open on Centene

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Authorization Specialist I

Utilization Management Rep II

Authorization Specialist III

Authorization Coordinator II

Applying to a few of these?

Insurance Authorization Specialist

Referral and Authorization Coordinator, Access, Full-Time, Days

Utilization Management Rep I

Authorization Representative II

Pharmacy Authorization Representative II - BioPlus Specialty Pharmacy

Authorization Representative I - BioPlus Specialty Pharmacy

Authorization Representative I - BioPlus Specialty Pharmacy

Authorization Representative I - BioPlus Specialty Pharmacy

Applying is the easy part. Keeping track is not.