BusinessOperations - Authorization Specialist I - J00903

Mindlance; Voltido; In loco; EUR 25.000 - 35.000; Tempo pieno

Descrizione del lavoro

A leading healthcare organization in Lombardia, Italy, is seeking an entry-level professional to support healthcare authorization requests. The role demands a High School diploma or GED, with 1–2 years of experience in related fields preferred. Responsibilities include data entry, assisting with authorization tracking, and maintaining communication with providers. The ideal candidate should possess strong organizational skills, be able to manage high-volume calls, and meet deadlines efficiently. This is a great opportunity for those looking to start a career in healthcare administration.

Competenze

• 1–2 years of related experience in intake, insurance, or utilization management.
• Must be able to handle high-volume intake calls effectively.
• Preference for familiarity with medical terminology and insurance.

Mansioni

• Support authorization requests for services as per the guidelines.
• Perform data entry for authorization requests in the management system.
• Assist with tracking and documentation of authorizations.
• Build and document authorizations timely for clinical review.

Conoscenze

Strong organization skills

Excellent verbal communication

Written communication with providers

Multitasking skills

Formazione

High School diploma or GED

Licensure in healthcare administration

Descrizione del lavoro

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.

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.

Responsibilities

• Supports authorization requests for services in accordance with the insurance prior authorization list.
• Supports and performs data entry to maintain and update authorization requests in the 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.

Typical Day in the Role

• Answer intake calls from providers and process authorizations received via fax through the Filenet portal.
• Build authorizations, task to clinical team timely, and document efforts in TruCare.
• Meet phone service levels >95% daily and complete around 35 authorization builds per day.
• Maintain audit scores >95% each month.

Candidate Requirements

• Minimum 1–2 years of related experience (intake, insurance, prior auth, utilization management, experience within foster care).
• High school diploma or GED required; preference for licensure in healthcare administration or other relevant credentials.
• Ability to handle high‑volume intake calls and process authorizations via fax and portal.
• Strong organization, prioritization, and multitasking skills.
• Excellent verbal and written communication with providers and team.
• Ability to work independently and meet timely deadlines.
• Disqualifiers: only call‑center experience (without related experience), fostering‑related constraints requiring compliance.

EEO Statement

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.