Authorization Specialist

• 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

Explore Authorization Specialist I at Centene Corporation. Review requirements and application details.