Authorization Specialist I

Centene Corporation

. Support prior authorization requests to ensure they are properly addressed within contractual timelines .

Posted 10/6/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $16 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in managing prior authorization requests and maintaining accurate documentation in accordance with healthcare policies and procedures. Familiarity with medical terminology and insurance processes is essential for effective support in utilization management.

Highest-signal resume keywords

Prior Authorization ManagementUtilization Management SupportMedical DocumentationHealthcare Eligibility UnderstandingInsurance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryDocumentation ManagementMedical TerminologyHealthcare PoliciesAuthorization Processes

Soft Skills

Attention to DetailOrganizational SkillsCommunication Skills

Tools & Technologies

Utilization Management System

Industry Keywords

HealthcareAuthorization RequestsCompliancePolicies and Guidelines

About the role

Key responsibilities & impact

Support prior authorization requests to ensure they are properly addressed within contractual timelines
Assist the utilization management team with documenting authorization requests
Obtain accurate and timely documentation for services related to members' healthcare eligibility and access
Support authorization requests in accordance with the insurance prior authorization list
Perform data entry to maintain and update authorization requests in the utilization management system
Track authorizations and referrals and maintain appropriate documentation according to policies and guidelines
Document medical information such as history, diagnosis, and prognosis for clinical reviewer determination
Stay current on healthcare, authorization processes, policies, and procedures
Perform other duties as assigned

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
High School diploma or GED required
Understanding of medical terminology preferred
Understanding of insurance preferred
Entry-level position typically requiring little or no previous experience
Compliance with all policies and standards

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plan
Tuition reimbursement
Paid time off
Paid holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation