Authorization Specialist
Employment type
Full-time
Work setting
On-site
Location
Columbus, IN
Schedule
Day shift
Posted
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Job overview
The Authorization Specialist is an onsite, full-time role in Columbus, IN. Compensation is not specified. The position reports to the Manager of Utilization Management and provides administrative support to SIHO Insurance Services’ Medical Management team. The specialist helps coordinate authorization requests by checking requirements and completeness, entering structured information, and routing requests to clinical reviewers. The role supports timely member and provider service while performing no clinical decision-making.
What you'll do
- Respond to telephone inquiries from physician offices
- collect and enter structured clinical and demographic data
- screen requests for precertification requirements, eligibility, and completeness
- triage calls and contact providers about utilization-review decisions
- transfer requests to appropriate clinical reviewers
- complete delegated authorization entry
- assist provider offices with Medical Management processes
- obtain clinical notes and support Utilization Managers.
What we're looking for
- Skills & competencies
- full-timeauthorization specialistutilization managementmedical managementhealthcare administrationauthorization entryprovider communicationhipaacolumbus insiho insurance services
- Work arrangement
- Weekend coverage required
Why this role
The posting explicitly states that the position involves no clinical decision-making.
About the employer
SIHO Insurance Services is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 43-6013.00
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Listing ID: 88dd4e98-afcb-4b1e-9dd2-653fbbd57739