[Hiring] Authorization Specialist I REMOTE USA
Position: Authorization Specialist I
Date Posted: August 21, 2025
Industry: Healthcare / Health Services / Insurance
Employment Type: Full Time
Experience: Entry-level / Little or no previous experience
Qualification: High School diploma or GED; understanding of medical terminology and insurance preferred
Salary: $16.01 – $22.98 per hour
Location: New York, United States
Company: Fidelis Care / Centene
Description:
[Fidelis Care is seeking a dedicated Authorization Specialist I to join our Medical Management/Health Services team. This role is vital in supporting our 28 million members by ensuring prior authorization requests are processed accurately and within contractual timelines.
✅ Key Responsibilities:
- Support and process prior authorization requests according to insurance guidelines.
- Maintain and update authorization records in the utilization management system.
- Assist the utilization management team in tracking and documenting authorizations and referrals per policy standards.
- Document medical information such as history, diagnosis, and prognosis for clinical review.
- Stay current with healthcare policies, authorization procedures, and organizational guidelines.
- Perform other duties as assigned while complying with all company policies and standards.
✅ Work Schedule:
- Monday through Friday, 8:30 AM – 5:00 PM EST
✅ Requirements:
- High School diploma or GED required
- Entry-level position; little to no prior experience needed
- Understanding of medical terminology and insurance processes is preferred
✅ Benefits:
- Competitive pay with additional incentives
- Health, dental, and vision insurance
- 401(k) and stock purchase plans
- Tuition reimbursement and professional development opportunities
- Paid time off and holidays
- Flexible work arrangements including remote, hybrid, field, or office options
Centene is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other legally protected characteristic. Applicants with arrest or conviction records will also be considered per applicable local laws.
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