Experienced Authorization Specialist I (Data Entry) – Healthcare and Insurance Industry

At arenaflex, we are committed to delivering exceptional healthcare services to our members, and we are seeking an experienced Authorization Specialist I (Data Entry) to join our team. As a key member of our utilization management team, you will play a vital role in ensuring that all authorization requests are addressed properly and in a timely manner. If you have a passion for healthcare, excellent data entry skills, and a strong work ethic, we encourage you to apply for this exciting opportunity.

Job Summary:

We are looking for a highly motivated and detail-oriented Authorization Specialist I (Data Entry) to join our team on a 12-month contract-to-hire basis. As an Authorization Specialist I (Data Entry), you will be responsible for supporting the prior authorization request process, maintaining and updating authorization requests in our utilization management system, and assisting the utilization management team with ongoing tracking and documentation. You will also contribute to the authorization review process by documenting necessary medical information and remain up-to-date on healthcare, authorization processes, policies, and procedures.

Responsibilities:

* Supports and performs data entry to maintain and update authorization requests in the utilization management system

• Assists the utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals by 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
• Performs other duties as assigned, including receiving faxes, triaging them, and sending them out to the appropriate teams within the Client’s HealthPlan
• Supports the intake department to streamline the intake process
• Enters pertinent claims information from source documents
• Corrects entries where indicated
• Maintains appropriate records, files, documentation, etc.
• Processes faxes for teams including Concurrent Review, Behavioral Health, Medicare, etc.

Performance Expectations/Metrics:

* The team will process anywhere from 3,500 to 4,000 faxes per day – need to get the faxes out to other teams within 1-2 hours of receiving, depending on the form

• 10,000 keystrokes an hour – 50 to 60 WPM, very fast-paced team

Required Skills/Experience:

* 10,000 keystrokes alphanumeric per hour needed = between 50 – 60 WPM

• Ability to be punctual and reliable on the job
• High school diploma REQUIRED due to possibility of conversion later
• Ability to pass a typing test with a minimum score of 60 WPM
• Open availability to work on any assigned shift, overtime, weekends, or holidays if needed
• Retail experience may transfer from a schedule expectation standpoint, due to the team being open 7 days/week

Preferred Skills/Experience:

* 3 months to 1 year of data processing or clerical experience is preferred, but not required

• Understanding of medical terminology and insurance is preferred

Work Environment and Company Culture:

At arenaflex, we value our employees and strive to create a positive and supportive work environment. As a remote employee, you will have the flexibility to work from the comfort of your own home, while still being part of a dynamic and collaborative team. We offer a range of benefits, including 401(k), 401(k) matching, dental insurance, flexible schedule, health insurance, life insurance, and vision insurance.

Compensation and Benefits:

* $16.00 per hour

• No less than 40 hours per week
• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Vision insurance

How to Apply:

If you are a motivated and detail-oriented individual with excellent data entry skills and a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Note:

* A typing test will be required as part of the application process

• A background check will be conducted prior to hire
• arenaflex is an equal opportunity employer and welcomes applications from diverse candidates

Apply for this job