Service Authorization Specialist - Remote

Date: Sep 1, 2023

Location:

Any city, AK, US, 99999

Req ID: 17729

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

HMS is hiring Service Authorization Representatives to support our Alaska MMIS Fiscal Agent account. Under the leadership and direction of the Service Authorization and Nurse Manager, the Service Authorization Representatives provide support to the Service Authorization team, Utilization and Review team, Nurses, Dentists, and other staff as needed through data entry, filing, and answering incoming calls. Other duties may be assigned as required.

Your role in our mission

Operates a variety of office-related equipment, such as multi-line phone system, computer, fax machine, copy machine, and postage meter.
Assists staff with collection and transfer of non-clinical data, acquisition of clinical data, and activities that do not require evaluation or interpretation of clinical information.
Performs a variety of general administrative duties for the Service Authorization Department.
Answers telephone calls to the Utilization Management department.
Performs data entry of prior authorization requests into the prior authorization system.
Facilitates electronic filing/scanning of medical records in the appropriate format and location.
Performs other duties and responsibilities as directed by the supervisor.

What we're looking for

Experience in Service Authorizations, Utilization Management, or related healthcare setting preferred. Proficiency with medical terminology and/or coding preferred.
No licensure or certification requirements.

Effective verbal, written, interpersonal, and phone communication skills to interact with internal departments and external contacts.
Ability to prioritize and manage duties in a timely manner.
Must treat all health information with confidentiality and discretion.

What you should expect in this role

This position will support our Alaska office and work hours that reflect the Alaska time zone.
Work from home (remote)
In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance.
To Test your internet download and upload speed:
Go to Google
Search for Internet Speed Test or click here.

#LI-NB1

#LI-REMOTE

The pay range for this position is [[salaryMin]] - [[salaryMid]] per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.