This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/12331144 Authorization Specialist I

BCForward is looking for

Authorization Specialist

- Remote

Position Title: Authorization Specialist

Location: Remote CST

Anticipated Start Date: 12/18/2024 - ASAP

Expected Duration: 06 months

Job Type: FULL TIME (\>=40 HRS WEEKLY, [CONTRACT], [REMOTE]

Shift: Monday - Friday, 1230-9 or 1-930

Pay Range: \$17/hr on W2

**Job Description: Authorization Specialist**

**Position Purpose:**

The **Prior Authorization Support Specialist** plays a critical role in supporting the prior authorization process for healthcare services. This position ensures that all authorization requests are handled in a timely manner, in accordance with contractual and regulatory guidelines. The role provides essential support to the Utilization Management team by assisting with accurate data entry, maintaining proper documentation, and ensuring compliance with healthcare policies.

**Education & Experience:**

- High School Diploma or GED required.

- Entry-level position, requiring little or no prior experience.

- Knowledge of medical terminology and insurance practices preferred but not required.

**Key Responsibilities:**

- **Support Data Entry & Tracking:**

Assist in entering and maintaining prior authorization requests into the utilization management system. Ensure all requests are documented and tracked according to established policies.

- **Documentation & Medical Information:**

Contribute to the authorization review process by gathering and documenting necessary medical information such as patient history, diagnosis, and prognosis for clinical review.

- **Assist in Prior Authorization Process:**

Aid the utilization management team in the ongoing tracking and documentation of authorizations and referrals, ensuring compliance with company policies and healthcare guidelines.

- **Stay Current on Healthcare Policies:**

Continuously update knowledge of healthcare authorization processes, insurance policies, and procedures to ensure efficient and effective support.

- **Other Duties as Assigned:**

Perform additional responsibilities as required to support the smooth operation of the Utilization Management department.

- **Compliance:**

Adhere to all relevant policies, procedures, and regulatory standards, ensuring confidentiality and accuracy in all documentation and processes.

**Position Requirements:**

- Strong attention to detail and accuracy in data entry and documentation.

- Ability to manage multiple tasks efficiently and prioritize responsibilities.

- Excellent communication skills, both verbal and written.

- Strong organizational skills and the ability to work independently or as part of a team.

- Willingness to learn and adapt in a fast-paced healthcare environment.

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 elp 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