Remote Prior Authorization Specialist I

Centene Management Company LLC; Illinois; Hybrid; USD 22,000 - 32,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

Centene Management Company LLC is seeking an entry-level specialist to support prior authorization requests. The role emphasizes documenting requests, gathering medical information, and ensuring adherence to timelines and policies.

You will work with the utilization management team to track authorizations and referrals. Applicants should have a High School diploma or GED; medical terminology and insurance knowledge are preferred.

Qualifications

• Understanding of medical terminology and insurance preferred.
• Entry-level position typically requiring little or no previous experience.

Responsibilities

• Supports the prior authorization request and ensures timely processing.
• Documents authorization requests and collects necessary medical information.
• Maintains utilization management documentation and adheres to policies.
• Assists with tracking and referrals in accordance with guidelines.

Skills

Medical terminology

Insurance knowledge

Education

High School diploma or GED

Job description

Centene Management Company LLC is seeking an entry-level specialist to support prior authorization requests. The role emphasizes documenting requests, gathering medical information, and ensuring adherence to timelines and policies.

You will work with the utilization management team to track authorizations and referrals. Applicants should have a High School diploma or GED; medical terminology and insurance knowledge are preferred.