Mindlance
BusinessOperations - Authorization Specialist II - J00904
What's your preference?
Job Description
- Req#: 25-76126
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on member healthcare access and eligibility
- Involvement in a team-oriented atmosphere with daily interactions
- Engaging work that requires a combination of claims and authorization experience
What to Expect (Job Responsibilities):
- Act as a resource in the prior authorization request process, ensuring timely handling of requests
- Support the utilization management team by documenting authorizations and referrals
- Research and document necessary medical information for authorization review
- Verify member insurance coverage and eligibility for services
- Maintain and update authorization requests in the utilization management system
What is Required (Qualifications):
- High School diploma or GED
- 1-2 years of related experience in healthcare or insurance
- Knowledge of medical terminology and insurance processes
- Ability to perform data entry and maintain accurate documentation
- Familiarity with HMO, PPO, and Medicaid insurance plans
How to Stand Out (Preferred Qualifications):
- Experience in authorization processes and claims review
- Strong understanding of healthcare policies and procedures
- Ability to meet compliance and performance metrics in a fast-paced environment
#HealthcareServices #Authorization #UtilizationManagement #CareerOpportunity #InsuranceEligibility
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.
Notice
Talentify 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, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.