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Authorization Specialist II
Spectraforce
US
Remote

2 days ago

Job Description

Job Title: Authorization Specialist II
Job Duration: 3 Months (Contract to Hire)
Job Location: Remote – but must reside in FL
Shift: Monday  - Friday 8 am – 5 pm with a (1) hour lunch


Job Description:
Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
Candidate Requirements
Education/Certification Required: High School Diploma Preferred: n/a
Licensure Required: n/a Preferred: n/a
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
Must haves:
  1. Microsoft Experience (excel experience) - team has seen in previous hires issues with not knowing how to navigate a spreadsheet(s). Must know how to log into platforms, use of TEAMS would be helpful – Microsoft Office Platform
  2. Customer Service Experience along the same lines as the field
  3. Authorizations and Compliance experience
Nice to haves:
  1. Healthcare background
  2. Trucare 
Disqualifiers:
  1. Not knowing how to navigate through Microsoft office
 
Performance indicators:
  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
1 Microsoft Experience (excel experience) - team has seen in previous hires issues with not knowing how to navigate a spreadsheet(s). Must know how to log into platforms, use of TEAMS would be helpful – Microsoft Office Platform
 
2 Customer Service Experience along the same lines as the field
 
3 Authorizations and Compliance experience
 
Position is offered by a no fee agency. 
Location : Remote – but must reside in FL 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $20.00/hr - $22.00/hr.

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