This job has closed.

Pyramid Consulting, Inc · 9 hours ago

Authorization Specialist I

United States

Full-time

Remote

New Grad, Entry Level

$20/hr - $21/hr

Pyramid Consulting, Inc. is seeking an Authorization Specialist I for a contract opportunity. The role involves supporting the admin denial process, reviewing documents for authorization, and maintaining documentation in accordance with healthcare policies and guidelines.

ConsultingInformation TechnologyLegalProfessional ServicesSoftwareStaffing Agency

Growth Opportunities

H1B Sponsor Likely

Responsibilities

This request is for support in the admin denial process

Will need to review documents received via fax and extract information needed to build authorization

Occasionally doing outreach to provider to obtain clarification of request or missing information

Required to send out notification of determination and adhere to strict deadlines

Will need ability to have good communication skill both verbal and written as letter will need to be created for providers per medical guidelines

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

Qualification

Medical backgroundAuthorization experienceMedicaid experienceExcel proficiencyMicrosoft OfficeIntake experienceMedi-Cal knowledgeLong Term Custodial experienceCommunication skills

Required

Medical background and authorization experience is required

Microsoft Office is required

High School Diploma or GED

Preferred

Medicaid experience and Excel background is highly preferred

Looking for experience in Intake and Authorization, some Medi-Cal knowledge would be helpful for this role as well as past medical experience

Long Term Custodial experience is preferred

Benefits

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave (depending on work location)

Company

Pyramid Consulting, Inc

Glassdoor4.2

Pyramid Consulting, a global leader in workforce and technology solutions, empowers individuals and organizations to transform and thrive in the most challenging and competitive markets.

Founded in 1996

Alpharetta, Georgia, USA

5001-10000 employees

https://pyramidci.com/

H1B Sponsorship

Pyramid Consulting, Inc has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (178)

2024 (112)

2023 (95)

2022 (62)

2021 (50)

2020 (117)