The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
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Luna Wireless is one of the largest Authorized T-Mobile Retailers in the US! Seeking candidates ... Job Overview The Retail Assistant Manager works in partnership with the Store Manager to lead and ...
T Mobile Authorized Retailer Assistant Manager
Chattanooga, TN ยท On-site
$15 - $20.25/hr
Luna Wireless is one of the largest Authorized T-Mobile Retailers in the US! Seeking candidates ... Job Overview The Retail Assistant Manager works in partnership with the Store Manager to lead and ...
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Smyrna, TN ยท On-site
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Smyrna, TN ยท On-site
$15.50 - $20.75/hr
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Customer Service Specialist Tier I - Cost Authorization
Chattanooga, TN ยท On-site
$15.50 - $20.50/hr
The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
Customer Service Specialist Tier I - Cost Authorization
Chattanooga, TN ยท On-site
$15.50 - $20.50/hr
The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
Customer Service Specialist Tier I - Cost Authorization
Chattanooga, TN ยท On-site
$18.50/hr
The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
Customer Service Specialist Tier I - Cost Authorization
Chattanooga, TN ยท On-site
$18.50/hr
The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements ...
Security Officer Access Authorization - Split Shift
Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
New
Security Officer Access Authorization - Split Shift
Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
New
VP of Utilization Review
Franklin, TN ยท On-site +1
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
VP of Utilization Review
Franklin, TN ยท On-site +1
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
VP of Utilization Review
Franklin, TN ยท On-site
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
VP of Utilization Review
Franklin, TN ยท On-site
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
VP of Utilization Review
Franklin, TN ยท On-site
$120 - $180/hr
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
VP of Utilization Review
Franklin, TN ยท On-site
$120 - $180/hr
Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes. * Partners with Clinical ...
Oxygen & Sleep Therapy Specialist
Crossville, TN ยท On-site
$14.50 - $19.50/hr
... insurance prior authorizations before dispensing product. Completes orders from intake to ... Reports directly to Store Manager/Supervisor all issues/obstacles/patterns affecting the billing ...
Oxygen & Sleep Therapy Specialist
Crossville, TN ยท On-site
$14.50 - $19.50/hr
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Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
Quick apply
Security Officer Access Authorization - Split Shift
Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
Security Officer Access Authorization - Split Shift
Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
Security Officer Access Authorization - Split Shift
Murfreesboro, TN ยท On-site
$16.33/hr
As an Access Control Officer at a logistics and distribution location, you will help manage entry ... Monitor access points and verify authorization for employees, contractors, delivery personnel, and ...
Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
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Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
Specialty Pharmacy Prior Authorization Specialist
$18.25 - $23.75/hr
Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
Specialty Pharmacy Prior Authorization Specialist
Memphis, TN ยท On-site
$20 - $25.75/hr
Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
Specialty Pharmacy Prior Authorization Specialist
Memphis, TN ยท On-site
$20 - $25.75/hr
Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. * Contacts insurance ... Communicates information and acts as a resource to Patient Access, Case Management, and others in ...
Branch Manager - 395
Lebanon, TN ยท On-site
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As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
Branch Manager - 395
Lebanon, TN ยท On-site
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As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
Branch Manager - 396
Clarksville, TN ยท On-site
As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
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Clarksville, TN ยท On-site
As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
Branch Manager - 393
Murfreesboro, TN ยท On-site
$24 - $26/hr
As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
Branch Manager - 393
Murfreesboro, TN ยท On-site
$24 - $26/hr
As a Branch Manager , you will be at the center of company operations and expected to lead and ... Work Authorization Required: Candidates must already possess valid U.S. work authorization ...
TCC, Verizon Authorized Retailer - Business Account Manager At TCC, Verizon Authorized Retailer, we believe our communities need more than just a wireless retailer, and our employees want more than ...
Quick apply
TCC, Verizon Authorized Retailer - Business Account Manager At TCC, Verizon Authorized Retailer, we believe our communities need more than just a wireless retailer, and our employees want more than ...
TCC, Verizon Authorized Retailer - Business Account Manager At TCC, Verizon Authorized Retailer, we believe our communities need more than just a wireless retailer, and our employees want more than ...
Quick apply
TCC, Verizon Authorized Retailer - Business Account Manager At TCC, Verizon Authorized Retailer, we believe our communities need more than just a wireless retailer, and our employees want more than ...
Authorization Manager information
How does an authorization manager typically collaborate with other departments to ensure efficient access control processes?
What are the key skills and qualifications needed to thrive as an authorization manager, and why are they important?
What is the difference between Authorization Manager vs Credentialing Specialist?
| Aspect | Authorization Manager | Credentialing Specialist |
|---|---|---|
| Required Credentials | Bachelor's degree, healthcare administration or related certifications | Healthcare-related certifications, licensing, and credentials |
| Work Environment | Healthcare organizations, insurance companies, hospitals | Hospitals, clinics, healthcare networks |
| Employer & Industry Usage | Used in healthcare management to oversee authorization processes | Used to verify provider credentials and maintain compliance |
| Common Search & Comparison | Often compared for roles involving patient access and insurance approvals | Compared for roles focused on provider credentialing and compliance |
The Authorization Manager primarily oversees the approval process for patient services and insurance claims, ensuring compliance and efficiency. In contrast, the Credentialing Specialist focuses on verifying healthcare providers' credentials and maintaining licensing standards. Both roles are essential in healthcare operations but serve different functions related to authorization and credential verification.
What does an authorization manager do?

Other
Medical, Dental, Vision, Life, Retirement
Posted 21 days ago
Job description
Training for this position will start on August 31st.
HomeServe USA, a Brookfield Infrastructure Group portfolio company, is a Great Place to Work, and while we're biased, we're not just saying that. We're proud to have been certified as a Great place to Work the last seven years. What does HomeServe do and what makes it so great? Well, we're glad you asked!
We put people at the heart of everything we do. That's priority number one for all of us. For the nearly 5 million customers we serve, that means being there when they have an emergency home repair need, such as getting their a/c working, clearing their clogged pipes, or fixing broken electrical systems. With over 1,300 municipal and utility partners, that means providing their customers with access to affordable home repair plans, making it easier, faster and less expensive to have their home repair needs met. And for the more than 1,500 people working alongside us, it means fostering a rewarding, inclusive and challenging career experience that we think is second to none. At HomeServe, everyone is welcome. We know that having diverse teams has a positive impact on our work and ultimately helps us better serve our customers.
No matter your role at HomeServe, you're part of a growing team that's working to make home repairs and improvements easy.
Position Overview:
The Cost Authorization Specialist, Tier I is a beginner level Cost Authorization position which uses introductory level knowledge and training with a corresponding cost approval limit to ensure HomeServe USA controls repair costs, and meets customer service targets. The team collectively is responsible for the approvals of over $150M in annual repair spend. The primary responsibilities include taking calls directly from contractors to provide job status updates and reviewing/approving repair costs. This position validates and approves the requested cost within the parameters of the customers' contract coverage or negotiates a better cost based on fair market value. The Cost Authorization Specialist, Tier I must be knowledgeable and familiar with Repair Management processes, HomeServe products and policies, pre-negotiated network contractor price agreements, policy terms and conditions, and prevailing industry rates. The incumbent ensures jobs are performed within negotiated or competitive rates for that market to assist in meeting underwriting targets.
Responsibilities:
- Handle a high volume of calls from field contractors requesting approvals for repair costs associated with pending service jobs.
- Review and approve job costs for Emergency Recruit Contractors and jobs with special circumstances not identified or pre-negotiated on rate sheets.
- Accurately document conversations, agreements, and actions taken with contractors regarding job costs and tasks.
- Proactively communicate with customers to advise of claim status to meet KPI's.
- Build excellent customer and contractor relationships during every interaction.
- Ensure and verify accuracy of job creation, job coding, and job details from creation to completion.
- Proactively contact customers or contractors to update Work-in-Progress service jobs.
- Resolve escalated customer and contractor issues.
- Educate customers on non-covered issues and out of pocket expenses.
- Act as a subject matter expert for Repair Management regarding residential repair terminology and techniques.
- Stay up to date with local codes, regulations, labor, and material costs.
- Assist with ad hoc projects as directed by Cost Authorization Supervisor or Team Lead.
- Work onsite during training is mandatory with the opportunity to transition to work from home based on successful completion of training, consistent performance, and business needs
Essential Functions:
Essential Job Function - % of Time on Function
Handle a high volume of calls from field contractors requesting approvals for repair costs associated with pending service jobs including communicating non-covered events and out-of-pocket costs to customers. - 50%
Resolve escalated customer and contractor issues. - 15%
Assist with ad hoc projects as directed by Cost Authorization Supervisor or Team Lead - 10%
Accurately document conversations, agreements, and actions taken with contractors regarding job costs and tasks. - 25%
Total - 100%
Job Requirements:
- High school diploma or GED required. Vocational/Trade school certificate preferred.
- 1 โ 2 years of estimating or job costing experience
- Broad knowledge of home repair methods with 1 โ 2 years plumbing, HVAC, and/or electrical trades experience.
- Apprentice or Journeyman license preferred.
- Detail oriented and shows strong data entry and documentation skills.
- Experience handling and diffusing difficult situations.
- Great organizational, time management, and independent problem-solving skills with the ability to work in a team environment.
- Self-driven and demonstrates the ability to thrive in a fast-paced environment.
- Strong written and verbal communication skills.
- Ability to work under the pressure of a steady workload.
- Ability to manage multiple priorities with a high sense of urgency.
- Strong customer service track record.
- Experience working in a call center environment is a plus.
- Ability to retain detailed information.
- Proficient PC skills including Microsoft Office tools (Excel, Word, Outlook), as well as internet search skills
- Must have shift flexibility and be able to work 5 โ 8 hour shifts or 4 โ 10 hour shifts, and the ability to work evenings and weekends.
- Ability to work OT during peak demand.
In return, we offer:
- Competitive compensation
- Career development and advancement opportunities
- Casual attire throughout the week
- Friendly, open and team oriented work atmosphere
- Excellent benefits including generous medical, vision, dental and life & disability insurance
- 401(k) plan with a company match
- Eligibility to enroll in up to two HomeServe coverage plans paid for by the company
Hourly Rate: $18.50 p/h
Minimum Physical Requirements:
The physical demands described represent those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions of the position for which they work. While performing the duties of this position, the employee is regularly required to listen, talk and hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls while executing tasks like working on a computer or talking on the telephone. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually moderate to low.
This job description is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
HomeServe USA is an equal opportunity employer.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.