Job Description

Job Description

Job Description

Dean's Professional Services is now hiring a qualified, patient-care-focused Authorization Specialist I to work in a Healthcare Facility in the Texas area. - Remote - Must Reside in Texas

We are on a mission to create care that's more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!

The Authorization Specialist I is responsible for supporting the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.

Job Responsibilities:

• Supports authorization requests for services in accordance with the insurance prior authorization list
• Responsibilities: Supports and performs data entry to maintain and update authorization requests into utilization management system
• Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines
• Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination
• Remains up-to-date on healthcare, authorization processes, policies and procedures
• Enters pertinent claims information from source documents
• Corrects entries where indicated
• Maintains appropriate records, files, documentation, etc.
• Performs other duties as assigned
• Complies with all policies and standards

Job Requirements:

• Must Reside in Texas
• High school diploma or equivalent - Required
• Data Entry/Referrals/Prior Auth is preferred
• Medial Office Experience - Required
• 0-2 years of Customer Service experience - Required
• Must take typing test with a minimum of 50 WPM typing speed, 10,000 key strokes per hour

Job Details:

• Shift: open availability for week/weekends
• Pay: $16/hr
• Full benefits - healthcare, dental, vision, 401k program.
• Temp-to-Hire opportunity.

  Dean's Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information, please visit .

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