Texas Licensed Authorization Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025
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Job Description:
A company is looking for an Authorization Specialist III to
support the prior authorization request process in a remote
setting.
Key Responsibilities
Track and maintain authorization requests in accordance with
insurance prior authorization guidelines
Verify member insurance coverage and service eligibility to ensure
timely payment adjudication
Act as a subject matter expert on the authorization process and
maintain relationships with service providers and clinical
reviewers
Required Qualifications
High School diploma or GED required
2 - 4 years of related experience preferred
LVN license or similar experience preferred
Strong knowledge of medical terminology and insurance
Familiarity with healthcare authorization processes and
policies
Keywords: VirtualVocations, Laguna Niguel , Texas Licensed Authorization Specialist, Other , Vista, California
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