Remote Health Authorization Specialist

CareOregon, Inc.; Portland (OR); Remote; USD 32,000 - 39,000; Full time

Benefits offered by this job

Bonus opportunity

Benefits package

Job summary

CareOregon, Inc. seeks an Authorization Assistant I to provide clerical and technical support focused on health authorization processes. The role supports members, providers, and internal teams, handling eligibility checks and insurer verifications.

Responsibilities include documenting actions, loading providers into QNXT and ensuring timely, accurate processing in compliance with HIPAA and policy standards. This is a remote, entry-to-mid level position with bonus potential.

Qualifications

• Minimum 1 year experience providing technical, clerical, or administrative support.
• Experience with electronic medical records is preferred.
• Experience processing Medicare/Medicaid or commercial plan authorizations.
• Knowledge of ICD10 and CPT coding is helpful.

Responsibilities

• Assist with focus-area requests from members, providers, vendors and internal customers.
• Verify member eligibility and primary insurer; verify provider networks.
• Load non-network providers into QNXT and maintain documentation per policy.
• Communicate clearly and promptly with stakeholders to complete requests.
• Maintain HIPAA confidentiality and comply with regulatory requirements.

Skills

Technical support

Clerical work

Customer service

Data entry

Tools

QNXT

MS Office

Job description

CareOregon, Inc. seeks an Authorization Assistant I to provide clerical and technical support focused on health authorization processes. The role supports members, providers, and internal teams, handling eligibility checks and insurer verifications.

Responsibilities include documenting actions, loading providers into QNXT and ensuring timely, accurate processing in compliance with HIPAA and policy standards. This is a remote, entry-to-mid level position with bonus potential.