Authorization Specialist I

Centene Corporation

Authorization Specialist supporting prior authorization workflows for Centene, a national healthcare organization serving 28 million members. Documenting medical information, referrals, and utilization management records.

Posted 8/13/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $16 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in managing prior authorization requests and maintaining accurate documentation in compliance with healthcare policies and procedures. Familiarity with medical terminology and insurance processes enhances the ability to support utilization management effectively.

Highest-signal resume keywords

Prior Authorization ManagementMedical Terminology UnderstandingInsurance KnowledgeData Entry SkillsDocumentation Compliance

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Prior Authorization RequestsUtilization ManagementData EntryMedical DocumentationHealthcare Eligibility

Soft Skills

FlexibilityAttention to Detail

Tools & Technologies

Utilization Management System

Industry Keywords

Healthcare PoliciesAuthorization ProcessesClinical ReviewMember AccessReferral Tracking

About the role

Key responsibilities & impact

Support prior authorization requests and ensure they are addressed properly within contractual timelines
Aid the utilization management team in documenting authorization requests
Obtain accurate and timely documentation for member healthcare eligibility and access
Support authorization requests according to the insurance prior authorization list
Perform data entry to maintain and update authorization requests in the utilization management system
Assist with tracking and documenting authorizations and referrals according to policies and guidelines
Document medical information including history, diagnosis, and prognosis for clinical reviewer determination
Stay up-to-date on healthcare, authorization processes, policies, and procedures
Perform other assigned duties
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without current or future employment-based visa sponsorship
High School diploma or GED required
Entry-level position requiring little or no previous experience
Understanding of medical terminology preferred
Understanding of insurance preferred
Must be flexible to work weekend hours

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation