Remote Authorization Specialist I

Meridian of Illinois; Illinois; Hybrid; USD 23,000 - 32,000; Full time

Job summary

Centene is seeking an entry-level Prior Authorization Support role in Illinois to assist the utilization management team with authorization requests and related documentation. The position emphasizes accurate data entry, knowledge of medical terminology and insurance processes, and adherence to policies.

Responsibilities include maintaining authorization records, assisting with tracking, and supporting the clinical reviewer with necessary medical information.

Qualifications

• Requires a High School diploma or GED; entry-level position with minimal prior experience.
• Understanding of medical terminology and insurance preferred.

Responsibilities

• Supports authorization requests for services in accordance with the insurance prior authorization list.
• Performs data entry to maintain and update authorization requests in the utilization management system.
• Assists utilization management team with tracking and documentation on authorizations and referrals.
• Contributes to the authorization review process by documenting medical information for clinical reviewer assessment.
• Keeps up-to-date on healthcare, authorization processes, policies and procedures.
• Performs other duties as assigned and complies with policies and standards.

Skills

Data entry

Medical terminology

Insurance knowledge

Communication skills

Education

High School diploma or GED

Tools

Utilization management system

Job description

Centene is seeking an entry-level Prior Authorization Support role in Illinois to assist the utilization management team with authorization requests and related documentation. The position emphasizes accurate data entry, knowledge of medical terminology and insurance processes, and adherence to policies.

Responsibilities include maintaining authorization records, assisting with tracking, and supporting the clinical reviewer with necessary medical information.