CASY-MSCCN Jobs

authorization specialist.

• woodland hills , california

• posted 10 days ago

job details

summary

• $22 - $23 per hour

• temporary

• high school

• category healthcare support occupations

• referenceAB_4521427

job details

A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist. This is a remote role, but the right candidate will be local to Woodland Hills, CA, as onsite meetings will be required. Must be able to work a flexible schedule with evenings and weekends. Earliest shifts start at 6 a.m. and latest shift ends at 8:30 p.m. on weekdays. Earliest shifts start at 6 a.m. and latest shift ends at 5:30 p.m. on weekends. If you are interested, with an updated resume.

salary: $22 - $23 per hour

shift: First

work hours: 8 AM - 5 PM

education: High School

Responsibilities

• Supports the authorization review process by researching and documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination

• Verifies member insurance coverage and/or service/benefit eligibility via system tools and aligns authorization with the guidelines to ensure a timely adjudication for payment

• Performs data entry to maintain and update various authorization requests into utilization management system

• Supports and processes authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer

• Remains up-to-date on healthcare, authorization processes, policies and procedures

The essential functions of this role include:

• working weekends

Skills

• Prior authorization

Qualifications

• Years of experience: 2 years

• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

get in touch

we are here to help you with your questions.

MP

megan perri

• +1 602 200 3916 (tel:+1 602 200 3916)

• megan.perri@randstadusa.com