Authorization specialist - united states, longview (washington)
supports the utilization management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
reviews authorization requests for initial determination and/or triages for clinical review and resolution.
provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching
information and assisting in solving problems.
assists with reporting, data tracking, gathering, organization and dissemination of information such as continuity of care process and tracking of peer to peer reviews.
qualifications:
hs diploma
3 years experience in healthcare service areas or office support.
2 years experience in healthcare/managed care setting or previous work experience within division. knowledge of cpt and icd 10 coding.
need a windows based personal computer oparting on windows 10 or higher
*proof of covid vaccination is required*
equal opportunity employer/veterans/disabled
the company will consider qualified applicants with arrest and conviction records
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