Authorization Systems Specialist
Company: VirtualVocations
Location: Huntington
Posted on: April 8, 2025
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Job Description:
A company is looking for an Authorization Systems Specialist III
to support the prior authorization request process for healthcare
services.
Key Responsibilities
Track and maintain authorization requests in accordance with
insurance guidelines
Verify member insurance coverage and assess service eligibility for
timely adjudication
Research health plan providers and document necessary medical
information for clinical reviewers
Required Qualifications
High School diploma or GED
2 - 4 years of related experience
Strong knowledge of medical terminology and insurance
Ability to maintain relationships with service providers and
clinical reviewers
In-depth knowledge of prior authorization review processes
Keywords: VirtualVocations, Huntington , Authorization Systems Specialist, Other , Huntington, West Virginia
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