Top 106 Prior authorization Jobs in Fremont, Ca

Cancer Center New Patient Administrative Specialist II
Stanford Health Care —Newark, CA
- $32.56 - $36.66 an hour
- Full-time
- Mid-level
- Windows
- High school diploma or GED
Member Service Representative Level 1 (San Jose, CA)
BeneSys, Inc. —San Jose, CA
- $34.12 an hour
- Full-time
- Microsoft Word
- Basic math
- Mid-level
- Paid jury duty
- AD&D insurance
Quick Apply
Case Manager II - PT Days
Kindred Hospital San Francisco Bay Area —San Leandro, CA
- $64.55 - $81.87 an hour
- Part-time
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
Cancer Care Patient Administrative Specialist II - Admin Float Pool/New Patient Scheduling
Stanford Health Care —Newark, CA
- $32.56 - $36.66 an hour
- Full-time
- Mid-level
- Windows
- High school diploma or GED
Patient Admin Specialist III, TV GI Clinic – Full Time, Days (08HR)
Stanford Health Care —Livermore, CA
- $34.58 - $38.91 an hour
- Full-time
- Writing skills
- Mid-level
- Windows
2d
Patient Admin Specialist III, Neurology Clinic SNHC – Full Time, Days (08HR)
Stanford Health Care —Palo Alto, CA
- $34.58 - $38.91 an hour
- Full-time
- Skilled nursing facility
- Writing skills
- Mid-level
Authorization Representative
KabaFusion —Pleasanton, CA
- $24 - $29 an hour
- Full-time
- Microsoft Excel
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
20h
PATIENT ADMIN SPECIALIST II- Pulmonary- FT Days (8 Hours)
Stanford Health Care —Pleasanton, CA
- $32.56 - $36.66 an hour
- 8 hour shift
- Mid-level
- Windows
- High school diploma or GED
2d
Patient Services Representative-Ambulatory
Alameda Health System —Oakland, CA
- $36.55 an hour
- Per diem
- Bilingual
- Dental office
- High school diploma or GED
- Health insurance
Medical Coordinator - Behavioral Health
Solomon Medical —Hayward, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Nursing
- Skilled nursing facility
- Surgery
- Health savings account
- Health insurance
Quick Apply
1d
Operations Specialist, Experienced
Blue Shield of California —Oakland, CA
- $32.03 - $48.04 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
9d
Temp Pharmacy Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $61,554 - $89,253 a year
- Temporary
- Microsoft Outlook
- Writing skills
- Mid-level
Pharmacy Technician, Medication Management Navigator
Sutter Health —Oakland, CA
- $40.05 - $56.07 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Clinic
Medical Admin Assistant
University HealthCare Alliance —Pleasanton, CA
- $28.29 - $36.07 an hour
- Full-time
- Vital signs
- BLS Certification
- 3 years
Pharmacy Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $61,554 - $89,253 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Office
Quick Apply
Operations Specialist, Senior
Blue Shield of California —Oakland, CA
- $81,950 - $122,870 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
9d
Resupply Coordinator
SLEEPQUEST INC —San Carlos, CA
- $25 - $27 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Business Office Supervisor - Skilled Nursing Facility 01
St. Rose Hospital —Hayward, CA
- $76,960.00 - $101,774.40 a year
- Part-time
- Skilled nursing facility
- Mid-level
- High school diploma or GED
2d
Sr. Director, Pharmacy - Prior Authorization & Call Center
Blue Shield of California —Oakland, CA
- $212,630 - $318,890 a year
- Full-time
- Hybrid work
- Background check
- 6 years
- Pass drug screening
- Work from home
Ambulatory Practice Coordinator 3
University of California San Francisco —Redwood City, CA
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook

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Cancer Center New Patient Administrative Specialist II

Stanford Health Care -
Newark, CA

Apply Now

Job Details

Full-time
$32.56 - $36.66 an hour

Qualifications

Employee onboarding
Computer operation
Phone communication
Windows
High school diploma or GED
New hire orientation
Telephone systems
Multi-line phone systems
Medical terminology
Technical Proficiency
Office phone management

Full Job Description

1.0 FTE Full time Day - 08 Hour R2657942 Hybrid 107085024 Oncology Clinic SBCC Administrative Support NEWARK, 7999 Gateway Blvd, California

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

A Brief Overview
The primary responsibility of the Patient Administrative Specialist (PAS) is to handle new patient coordination, surgery scheduling, and other front office functions in the outpatient clinical setting. A Patient Administrative Specialist supports any and all administrative tasks related to the daily operations of the clinic. The career progression for a PAS consists of 4 levels, reflecting a clear set of skills, knowledge, and education and experience of each level. Employees have the opportunity to move up the career ladder by demonstrating skills that meet business needs and the requirements at the higher level.

What you will do

Primary Function:
Proficiency of level I skills
AND
Performs the following:
Specialized Functions:
Patient Interaction and Registration:
- Greeting and Assistance: Greet patients, complete registration check-in & check-out, verify insurance information is accurate, and assist with general questions about appointments, authorization, payments, billing, and schedules.
- Patient Escalations: Seek, Identifies, and resolves simple escalations, provides service recovery where appropriate. Escalate complex issues as defined by clinic specific pathways.
- Referral Management & Appointment Scheduling: Track and manage incoming referrals and schedule appointments for patients in a timely manner. Adhere to scheduling instructions, referral guidelines, and insurance eligibility.
Administrative Tasks and Documentation
- Telephone and Messaging: Handles a significant volume of inbound and outbound patient calls, efficiently takes and routes messages, and manages patient correspondence.
- Documentation Management: Manage faxes, mail, file documentation, and maintain databases.
- Systems Use: Process forms and utilize phone and electronic medical records systems.
- Orientation: Welcome and orient new PAS staff members to best practices.
Communication and Coordination
- Professional Communication: Maintain communication with PAS staff, medical center/clinic staff, physicians, and patients.
- Provider Coordination: Communicate scheduling preferences and urgent needs with providers.
PLUS
Strong Proficiency In At Least ONE of the Following Specialized Functions:
- Medication Prior Authorization
- Specialized Data Collection & Coordination
- Cross-trained to support multiple providers, services, and/or departments
- Surgery/Procedure Scheduling
- New Patient Coordination

Education Qualifications

High School Diploma/GED.

Experience Qualifications

At least one (1) year of related healthcare experience (Including external experience) required.

Required Knowledge, Skills and Abilities

Knowledge
- Knowledge of Windows-based office software, computers, and operating systems
- Basic Knowledge of medical terminology
Skills
- Strong written and phone/verbal communication skills
- Phone skills, including familiarity with complex or multi-line phone systems
- Strong time management and organizational skills
- Ability to solve problems and manage multiple priorities
Abilities
- Actively listen to patients and colleagues
- Provide exceptional patient experience by empathizing with patients, demonstrating compassion and understanding while addressing their needs and concerns with sensitivity and professionalism
- Adjust communications to fit the needs and level of understanding of the receiver
- Exercise calmness in stressful situations
- Assist with welcoming & orienting new PAS staff members
- Demonstrate exemplary customer service and acts as a liaison between the front and back office
- Ability to acquire and develop departmental expertise

Physical Demands and Work Conditions

Physical Demands

Frequent Sitting.
Occasional Walking.
Occasional Standing.
Seldom Bending.
Seldom Kneeling.
Seldom Crawling.
Occasional Pushing and Pulling.
Occasional Reaching (above shoulder level).
Seldom Twisting and Turning (Neck and Waist).

Lifting

Occasional lifting of 0 - 10 lbs.
lifting of 11 - 20 lbs. 0 to 0 in height
lifting of 21 - 30 lbs. 0 to 0 in height
lifting of 31 - 40 lbs. 0 to 0 in height
lifting of 40+ lbs. 0 to 0 in height

Working Environment

Constant Other (please list each item under Comments):. Work is primarily performed in an office setting that is adequately lighted, heated and ventilated. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job

Blood Borne Pathogens

Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $32.56 - $36.66 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

prior authorization jobs in fremont, ca

Cancer Center New Patient Administrative Specialist II

Member Service Representative Level 1 (San Jose, CA)

Case Manager II - PT Days

Cancer Care Patient Administrative Specialist II - Admin Float Pool/New Patient Scheduling

Patient Admin Specialist III, TV GI Clinic – Full Time, Days (08HR)

Patient Admin Specialist III, Neurology Clinic SNHC – Full Time, Days (08HR)

Authorization Representative

PATIENT ADMIN SPECIALIST II- Pulmonary- FT Days (8 Hours)

Patient Services Representative-Ambulatory

Medical Coordinator - Behavioral Health

Operations Specialist, Experienced

Temp Pharmacy Coordinator

Pharmacy Technician, Medication Management Navigator

Medical Admin Assistant

Pharmacy Coordinator

Operations Specialist, Senior

Resupply Coordinator

Business Office Supervisor - Skilled Nursing Facility 01

Sr. Director, Pharmacy - Prior Authorization & Call Center

Ambulatory Practice Coordinator 3

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