California Licensed Authorization Specialist

Job Summary

A company is looking for an Authorization Specialist II to support the prior authorization request process and assist the utilization management team.

Key Responsibilities

• Aids the utilization management team in tracking and documenting authorizations and referrals
• Researches and documents necessary medical information for authorization reviews
• Verifies member insurance coverage and processes authorization requests in accordance with guidelines

Required Qualifications

• High School diploma or GED
• 1 - 2 years of related experience
• Knowledge of medical terminology and insurance preferred
• High volume processing experience is a plus