Authorization Specialist I
BC Forward

Authorization Specialist I


BCforward is currently seeking a highly motivated Authorization Specialist for an opportunity Remote

Position Title: Authorization Specialist

Location: Remote

Duration: 12+ months of contract with Contract to Hire

Pay Rate: $17.00/hr. on W2

Shift: Monday - Friday, 12:00pm-8:30pm CST

Need: Typing Test with score card is Required. Typing Speed (50 and above) WPM

Job Description:

Position Purpose:

Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.

Required Skills/Experience:

• Data Entry - typing all day long (8 hours ), 60-70 WPM.
• please ensure that a typing test is completed.
• Medical background.

Responsibilities:

• Data entry - the claim forms are submitted via fax, goes into system to become electronic. Pulling information off claim form and submitting position into database.
• Submitting member data into database.
• Team process 15,000 - 20,000 claims per day.
• (1) claim to upload takes 30 - 60 seconds.
• Receive faxes, triage them, then verify/enter the data present on the forms.
• Supporting intake department to streamline the intake process.
• Candidate needs to be comfortable typing fast and inputting data throughout the day.
• Accurately entering claim information on source documents.
• Corrects entries were indicated.

Education/Experience:

• Requires a High School diploma or GED.
• Entry-level position typically requiring little or no previous experience.
• Understanding of medical terminology and insurance preferred.
• Supports authorization requests for services in accordance with the insurance prior authorization list.
• Responsibilities: Supports and performs data entry to maintain and update authorization requests into utilization management system.
• Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines.
• Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination.
• Remains up to date on healthcare, authorization processes, policies, and procedures.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 229927 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
Clarkson Valley, MO (Onsite)

Job Type
Insurance

Experience
Not Specified

Date Posted
10/03/2024

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