Authorization Specialist

MerakeyWhitemarsh Township, PA
Remote

About The Position

The Authorization Specialist performs all functions associated with the entire registration process of consumers, financial set-up of consumers insurance, consumer eligibility checking and all authorization related functions. The Authorization Specialist will: Proactively identify, analyze, and resolves issues to facilitate the efficient and timely entry of authorizations, consumer registration and consumer eligibility checking. Regularly communicate with management, staff and all other stakeholders with relevant information, feedback and issues relating to their respective programs and processes. Handle all aspects of entering authorizations and registrations into the core billing system within established timeframes for all programs and perform quality control verification on all authorizations entered. Perform all aspects of eligibility verification checking and associated functional tasks. Perform all aspects of consumer registration into the core billing system related to demographics, consumer financial information, etc. Facilitate and coordinate all processes relating to both receipt and distribution of documents, reports, etc. from programs and sites to the Central Business Office relating to Authorizations, Financial Set-up, registration and eligibility checking.

Requirements

  • 2 – 3 years of clerical and previous insurance experience required.
  • H.S. Diploma or GED
  • Strong analytical, problem solving and communication skills.
  • Ability to work independently and within a group, with minimal daily supervision
  • Proven ability to think outside the box to perform desired results.
  • Must be able to multitask and work in very high paced job environment.

Nice To Haves

  • Associate Degree in Business Administration preferred

Responsibilities

  • Proactively identify, analyze, and resolves issues to facilitate the efficient and timely entry of authorizations, consumer registration and consumer eligibility checking.
  • Regularly communicate with management, staff and all other stakeholders with relevant information, feedback and issues relating to their respective programs and processes.
  • Handle all aspects of entering authorizations and registrations into the core billing system within established timeframes for all programs and perform quality control verification on all authorizations entered.
  • Perform all aspects of eligibility verification checking and associated functional tasks.
  • Perform all aspects of consumer registration into the core billing system related to demographics, consumer financial information, etc.
  • Facilitate and coordinate all processes relating to both receipt and distribution of documents, reports, etc. from programs and sites to the Central Business Office relating to Authorizations, Financial Set-up, registration and eligibility checking.

Benefits

  • Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
  • Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
  • DailyPay -- access your pay when you need it!
  • On the Goga well-being platform, featuring self-care tools and resources.
  • Access Care.com for backup childcare, elder care, and household services.
  • Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
  • Tuition reimbursement and educational partnerships.
  • Employee discounts and savings programs on entertainment, travel, and lifestyle.
  • Access to Pryor Online Learning for free online personal development classes.
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