Experienced Data Entry Specialist – Authorization and Utilization Management

At arenaflex, we're committed to delivering exceptional healthcare services to our members, and we're seeking a highly skilled and detail-oriented Data Entry Specialist to join our team. As an Authorization Specialist, you'll play a critical role in supporting our utilization management team by ensuring accurate and timely documentation of authorization requests. If you're a motivated and organized individual with excellent typing skills, we encourage you to apply for this exciting opportunity.

Job Summary:

We're looking for a talented Data Entry Specialist to join our team on a 12-month contract-to-hire basis. As an Authorization Specialist, you'll be responsible for supporting the prior authorization request process, maintaining and updating authorization requests in our utilization management system, and assisting the utilization management team with ongoing tracking and documentation. If you're a fast-paced and detail-oriented individual with excellent typing skills, we encourage you to apply for this exciting opportunity.

Responsibilities:

* Supports and performs data entry to maintain and update authorization requests in the utilization management system

• Assists the utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals by 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, including receiving faxes, triaging them, and sending them out to the appropriate teams within the Client's HealthPlan
• Supports the intake department to streamline the intake process
• Enters pertinent claims information from source documents
• Corrects entries where indicated
• Maintains appropriate records, files, documentation, etc.
• Processes faxes for teams including Concurrent Review, Behavioral Health, Medicare, etc.

Performance Expectations/Metrics:

* The team will process anywhere from 3,500 to 4,000 faxes per day – need to get the faxes out to other teams within 1-2 hours of receiving, depending on the form

• 10,000 keystrokes an hour – 50 to 60 WPM, very fast-paced team

Requirements:

* 10,000 keystrokes alphanumeric per hour needed = between 50 – 60 WPM. The typing test needs to be attached to the resume

• Ability to be punctual and reliable on the job
• High school diploma REQUIRED due to possibility of conversion later
• Open availability, including weekends and holidays
• Ability to work on any assigned shift, overtime, or as needed

Preferred Qualifications:

* 3 months to 1 year of data processing or clerical experience is preferred, but not required

• Understanding of medical terminology and insurance is preferred

Work Environment and Culture:

* Remote work arrangement with flexible schedule

• Collaborative and dynamic team environment
• Opportunities for career growth and professional development
• Arenaflex is committed to providing a supportive and inclusive work environment that fosters creativity, innovation, and excellence.

Benefits:

* 401(k) matching

• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Vision insurance

Compensation:

* $16.00 per hour

How to Apply:

If you're a motivated and detail-oriented individual with excellent typing skills, we encourage you to apply for this exciting opportunity. Please submit your resume and a copy of your typing test results to [insert contact information]. We look forward to hearing from you!

Note:

Arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and supportive work environment that fosters creativity, innovation, and excellence. Apply for this job