United States$24 - $25 per hour2-5 yrs expHealthcare
The Clinical Review Specialist conducts utilization management reviews and provides clinical information to confirm patient coverage. They act as a liaison between internal and external customers to ensure compliance with regulations and facilitate the resolution of service requests.
The Authorization Specialist is responsible for obtaining and maintaining prior authorization status for patient medications and therapies. They also coordinate with clinical and billing departments to ensure all documentation meets payer requirements.
