2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions.
The Specialty Authorization Team consists of the processing of authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials in which we are now at a 1 BD TAT for the processing of SK/SH/MMP authorizations.
We utilize project temps/contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions.
The team continues to experience high authorization volumes.
Describe the performance expectations/metrics for this individual and their team:
Daily check in & communication via group IM(s)
Daily production logs must be completed and emailed to the designated person no later than 9am next business day.
Multi-tasking with multiple monitors and applications
Utilize work guides and or resources.
97% Quality (Audits)
98% Production
0-5% Error Rate
Preferred Qualification
LPN, LVN, or LCSW preferred. License is the most important.
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Staffing and Recruiting
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