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Texas Licensed Authorization Specialist

Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025

Job Description:

A company is looking for an Authorization Specialist III to support the prior authorization request process in a remote setting.
Key Responsibilities

Track and maintain authorization requests in accordance with insurance prior authorization guidelines
Verify member insurance coverage and service eligibility to ensure timely payment adjudication
Act as a subject matter expert on the authorization process and maintain relationships with service providers and clinical reviewers

Required Qualifications

High School diploma or GED required
2 - 4 years of related experience preferred
LVN license or similar experience preferred
Strong knowledge of medical terminology and insurance
Familiarity with healthcare authorization processes and policies

Keywords: VirtualVocations, Pomona , Texas Licensed Authorization Specialist, Other , Vista, California

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