[Remote] Authorization Specialist II

Note: The job is a remote job and is open to candidates in USA. RemoteHunter is connecting candidates with leading employers in the healthcare sector, specifically in the Medical Management/Health Services team. The Authorization Specialist II will support the prior authorization request process, ensuring timely and accurate handling of authorization requests related to member healthcare eligibility and access. Responsibilities Support prior authorization request process within contractual timelines Document authorization requests and obtain timely, accurate service documentation Track and maintain documentation on authorizations and referrals per policies Research and document medical information for clinical reviewer determination Verify member insurance coverage and service eligibility using system tools Perform data entry to update authorization requests in the utilization management system Process authorization requests per insurance prior authorization list and route appropriately Stay current on healthcare, authorization processes, policies, and procedures Perform other duties as assigned Comply with all policies and standards Skills High School diploma or GED 1 to 2 years of related experience Knowledge of medical terminology and insurance Benefits Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off and holidays Flexible work options including remote, hybrid, field, or office schedules Company Overview RemoteHunter is your dedicated AI job search assistant, turning the job hunt from a slow, individual effort into a quicker, smarter, and guided experience by streamlining each step of the process and speeding up your path to the right career opportunities. It was founded in 2025, and is headquartered in , with a workforce of 11-50 employees. Its website is