Remote Authorization Specialist I (Temp)

CareOregon, Inc.; Oregon; Hybride; USD 32 000 - 39 000; Plein temps

Résumé du poste

CareOregon, Inc. is seeking an Authorization Assistant I (Temporary) to provide technical and clerical support across focus areas such as physical health and Medicaid.

The role involves verifying eligibility, insurers, and providers, and ensuring timely processing per department procedures and HIPAA requirements. The position emphasizes accuracy, production standards, and collaboration with members, providers, and internal teams, with a compensation range reflecting the Oregon market and bonus

Qualifications

• Minimum 1 year experience providing technical, clerical, or administrative support.
• Preferred experience working with electronic medical records.
• Experience processing Medicare, Medicaid, or commercial plan authorization requests.
• Experience working with coding and medical terminology.

Responsabilités

• Support (1) focus areas with technical and clerical duties as required.
• Verify member eligibility and determine primary insurer.
• Verify network and non-network providers are loaded into systems.
• Process requests based on member insurance and department policies.
• Maintain confidentiality and adhere to HIPAA requirements.

Connaissances

Data entry

HIPAA compliance

Customer service

MS Office (Word/Outlook)

Outils

QNXT

EMR systems

Description du poste

CareOregon, Inc. is seeking an Authorization Assistant I (Temporary) to provide technical and clerical support across focus areas such as physical health and Medicaid.

The role involves verifying eligibility, insurers, and providers, and ensuring timely processing per department procedures and HIPAA requirements. The position emphasizes accuracy, production standards, and collaboration with members, providers, and internal teams, with a compensation range reflecting the Oregon market and bonus