Authorization Specialist II

Centene Corporation

. Act as a resource and support the prior authorization request process to ensure requests are addressed properly within contractual timelines .

Posted 9/28/2026full-timeRemote • Arizona • United StatesJunior💰 $18 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in healthcare authorization processes and medical terminology, ensuring compliance with policies and standards while effectively managing authorization requests and documentation.

Highest-signal resume keywords

Healthcare Authorization ProcessesMedical TerminologyData EntryInsurance VerificationUtilization Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization Request ProcessingDocumentation TrackingMedical Information ResearchAuthorization Guidelines AlignmentData Maintenance

Soft Skills

Attention to DetailOrganizational SkillsCommunication Skills

Tools & Technologies

Utilization Management System

Industry Keywords

Insurance CoverageBenefit EligibilityCompliance StandardsHealthcare PoliciesClinical Review

About the role

Key responsibilities & impact

Act as a resource and support the prior authorization request process to ensure requests are addressed properly within contractual timelines
Support the utilization management team with documentation and tracking of authorization requests and referrals
Research and document medical information, including history, diagnosis and prognosis, for clinical reviewer determination
Verify member insurance coverage and service/benefit eligibility using system tools
Align authorizations with guidelines to support timely payment adjudication
Perform data entry to maintain and update authorization requests in the utilization management system
Process authorization requests according to the insurance prior authorization list and route them to appropriate clinical reviewers
Remain up to date on healthcare authorization processes, policies and procedures
Perform other duties as assigned
Comply with all policies and standards

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
1–2 years of related experience
Knowledge of medical terminology and insurance preferred
Ability to work Tuesday–Saturday or Sunday–Thursday
Ability to work 10:00 a.m. to 7:00 p.m. Central Time
Knowledge of healthcare authorization processes, policies and procedures
Compliance with all policies and standards

Benefits

Comp & perks

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