Authorization Specialist I

Centene Corporation

Authorization Specialist ensuring proper handling of prior authorization requests for members. Supporting medical management and healthcare eligibility while maintaining documentation standards.

Posted 6/26/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $16 - $23 per hourWebsite

About the role

Key responsibilities & impact

Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline
Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access
Supports authorization requests for services in accordance with the insurance prior authorization list
Supports and performs data entry to maintain and update authorization requests into utilization management system
Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with 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
Complies with all policies and standards

Requirements

What you’ll need

Requires a High School diploma or GED
Entry-level position typically requiring little or no previous experience
Understanding of medical terminology and insurance preferred

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data entrydocumentationauthorization processesmedical terminology

Certifications

High School diplomaGED