Authorization Specialist II — Remote Utilization & Prior Auth

centene; New York (NY); Hybride; USD 25 000 - 39 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Résumé du poste

Centene is seeking a Prior Authorization Support role in the United States. You will assist the utilization management team, document authorization requests, verify coverage, and ensure timely adjudication in accordance with policies. Requires 1–2 years of related experience and a high school diploma or GED.

Salary range posted: $17.84–$28.02 per hour. Remote, hybrid, or on-site work options are available, with a flexible schedule and comprehensive benefits.

Qualifications

• Requires a High School diploma or GED.
• Requires 1–2 years of related experience.
• Knowledge of medical terminology and insurance preferred.

Responsabilités

• Aids the utilization management team and tracks authorizations and referrals.
• Researches and documents medical information for clinical review.
• Verifies insurance coverage and aligns authorizations with guidelines for timely adjudication.

Connaissances

Data entry

Research & documentation

Medical terminology

Insurance knowledge

Formation

High School diploma or GED

Outils

Utilization management systems

Description du poste

Centene is seeking a Prior Authorization Support role in the United States. You will assist the utilization management team, document authorization requests, verify coverage, and ensure timely adjudication in accordance with policies. Requires 1–2 years of related experience and a high school diploma or GED.

Salary range posted: $17.84–$28.02 per hour. Remote, hybrid, or on-site work options are available, with a flexible schedule and comprehensive benefits.