Top 47 Authorization specialist Jobs in La Mesa, Ca

Authorizations Specialist
Medical Oncology Associates of San Diego —San Diego, CA
- $24 - $32 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
Quick Apply
Call Center Specialist - Per Diem - Cardiology
UC San Diego Health —San Diego, CA
- $34.64 an hour
- 8 hour shift
- Remote
- Writing skills
- Pass drug screening
- Mid-level
13d
Patient Service Specialist - ED - Hillcrest
Scripps Health —San Diego, CA
- $27.24 - $35.88 an hour
- 12 hour shift
- Medical office experience
- Analysis skills
- Math
- Health insurance
Patient Service Specialist - ED - Chula Vista
Scripps Health —Chula Vista, CA
- $27.24 - $35.88 an hour
- Full-time
- Mid-level
- Analysis skills
- Math
- Health insurance
12h
Scheduling Specialist - Urology - Torrey Pines
Scripps Health —La Jolla, CA
- $27.24 - $35.88 an hour
- Full-time
- Hybrid work
- Mid-level
- Clinic
- Analysis skills
- Health insurance
3d
Care Specialist - Inpatient - Sharp Rees-Stealy - Per Diem - Day Shift
Sharp HealthCare —San Diego, CA
- $30.98 - $43.37 an hour
- 8 hour shift
- Hospital
- Inpatient
- English
Referrals Specialist Lead (San Ysidro, CA)
San Ysidro Health —San Diego, CA
- $29.85 - $37.98 an hour
- Weekends as needed
- Mid-level
- High school diploma or GED
- Clinic
Quick Apply
2d
Field Support Specialist - Hybrid - San Diego, CA
TriWest Healthcare Alliance —San Diego, CA
- $81,000 - $85,000 a year
- Full-time
- Hybrid work
- Mid-level
- Administrative experience
- High school diploma or GED
- AD&D insurance
- Disability insurance
Patient Service Specialist - OB - Hillcrest
Scripps Health —San Diego, CA
- $26.45 - $34.33 an hour
- 12 hour shift
- Hospital
- Mid-level
- Ob/Gyn
Patient Service Specialist - Chest Medicine - La Jolla
Scripps Health —La Jolla, CA
- $26.45 - $34.33 an hour
- 8 hour shift
- Mid-level
- Analysis skills
- Math
- Health insurance
1d
Medical Records/HIS Specialist - El Cajon
San Ysidro Health —El Cajon, CA
- $27.93 - $35.32 an hour
- Weekends as needed
- Spanish
- Customer service
- Medical office experience
Quick Apply
9d
HIS Specialist - El Cajon (TEMP)
San Ysidro Health —El Cajon, CA
- $27.93 - $35.32 an hour
- Temporary
- Spanish
- Customer service
- Medical office experience
Quick Apply
1d
Authorization Support Specialist
San Diego Family Dermatology —National City, CA
- $19 an hour
- Full-time
- Office
- High school diploma or GED
- In-person
- Health insurance
- Dental insurance
Quick Apply
3d
PACE Referrals Supervisor
San Ysidro Health —San Diego, CA
- $34.42 - $44.30 an hour
- Weekends as needed
- High school
- Mid-level
- Windows
- Health insurance
Quick Apply
Eligibility Coordinator
Medical Oncology Associates of San Diego —San Diego, CA
- $21 - $24 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Department Care Support Coordinator (Administrative Support Coordinator I )
San Diego State University —San Diego, CA
- $4,047 - $5,896 a month
- Overtime
- Background check
- Google Workspace
- High school
- Paid holidays
- Disability insurance
6d
Claims Service Specialist
GEICO —Poway, CA
- $22.90 - $35.10 an hour
- Weekends as needed
- Office
- High school diploma or GED
- Entry level
- Paid holidays
- Health insurance
7d
Front Desk
SYNERGY ORTHOPEDIC SPECIALISTS INC —La Mesa, CA
- $23 - $25 an hour
- Full-time
- Spanish
- Anatomy knowledge
- Sales
Quick Apply
Department Care Support Coordinator (Administrative Support Coordinator I )
California State University —San Diego, CA
- Overtime
- Background check
- Google Workspace
- High school
- Paid holidays
- Disability insurance
6d
Referrals Care Coordinator (Bilingual Arabic/Farsi)
DAP Health —El Cajon, CA
- $23 an hour
- Full-time
- CPR Certification
- Computer literacy
- BLS Certification
Quick Apply

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Authorizations Specialist

Medical Oncology Associates of San Diego -
San Diego, CA

Quick Apply

Job Details

Full-time
$24 - $32 an hour

Qualifications

Customer communication
High school diploma or GED
Healthcare referral management
Pre-authorization review for utilization management
Health insurance referral requirements

Full Job Description

Medical Oncology Associates of San Diego is a proud partner of One Oncology's network of the nations leading oncology practices.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

The Authorization & Referral Specialist is responsible for obtaining, managing, and documenting insurance authorizations and referral approvals for services provided both within MOASD and by outside healthcare providers and facilities. This position serves as a liaison between payers, providers, patients, and healthcare organizations to coordinate approval processes and support timely delivery of care.

Patient-Centered Care
MOASD is committed to delivering compassionate, coordinated, and patient-centered care. The Authorization & Referral Specialist supports this mission by proactively removing insurance-related barriers to treatment and referral services, coordinating approvals across multiple healthcare organizations, and advocating for timely access to medically necessary care. This role helps minimize treatment delays and supports continuity of care throughout the patient journey.

Key Areas of Responsibility:

Treatment Authorization Management

Obtain and manage authorizations for infusion therapies, injectable medications, and other in-office treatments.
Review assigned work queues, schedules, and provider orders to identify authorization requirements.
Submit complete and accurate authorization requests to payers.
Monitor authorization status and ensure approvals are secured prior to scheduled treatment whenever possible.
Coordinate peer-to-peer reviews and additional documentation requests when required by payers.
Communicate authorization outcomes, delays, denials, and approval information to providers, nursing staff, schedulers, and Financial Counselors.
Escalate authorization barriers that may impact patient care according to department procedures.
Assist with appeals and reconsiderations when appropriate.
Maintain accurate authorization documentation within the electronic medical record.
Ensure authorizations are obtained within established departmental timelines.
Prioritize urgent and same-day patient care needs appropriately.

Referral and Outside Service Management

Obtain authorizations for office visits, referrals, imaging, diagnostic testing, procedures, and other services performed outside of MOASD.
Verify payer requirements and referral pathways.
Coordinate with referring providers, outside facilities, and payer representatives to secure approvals.
Ensure all required clinical documentation is submitted to support authorization requests.
Monitor pending requests and follow up proactively to prevent delays in patient care.
Document authorization activity and outcomes in accordance with department standards.
Communicate authorization status to patients and internal teams as appropriate.

Patient Coordination and Communication

Serve as a resource for patients regarding authorization requirements and payer processes.
Communicate professionally and compassionately with patients experiencing treatment or referral delays.
Support patient access by identifying and escalating barriers to care.

Interdepartmental Collaboration

Collaborate with providers, nursing, scheduling, financial counseling, revenue cycle, and management teams to facilitate timely patient care.
Respond to authorization-related inquiries within established departmental timelines.
Participate in process improvement initiatives designed to improve authorization efficiency and reduce treatment delays.
Promote positive working relationships across departments and external organizations.

Documentation and Compliance

Maintain accurate, timely, and complete documentation within OncoEMR and other applicable systems.
Ensure all authorization records, payer communications, and supporting documentation are appropriately filed.
Maintain compliance with HIPAA, payer regulations, and organizational policies.
Identify trends, denials, and workflow concerns and communicate findings to leadership.

This job description is not designed to cover an exhaustive list of duties. Other duties may be assigned and activities may change any time with or without notice, as applicable. Furthermore, job descriptions do not establish a contract or change the at-will nature of employment.

Experience, Qualifications, Education

Minimum three years of healthcare authorization, referral coordination, or related revenue cycle experience required.
Experience obtaining both treatment and referral authorizations preferred.
Working knowledge of managed care, IPA, HMO, PPO, and Medicare authorization requirements.
Knowledge of CPT, HCPCS, ICD-10, and medical necessity documentation requirements.
Oncology, infusion, specialty practice, or high-acuity healthcare experience preferred.
High school diploma or GED required. Associate degree, vocational training, or additional healthcare-related education preferred.

Knowledge, Skills, and Abilities

Strong understanding of insurance authorization processes.
Ability to interpret payer policies and authorization requirements.
Excellent organizational and time-management skills.
Strong attention to detail and accuracy.
Ability to manage multiple priorities in a fast-paced environment.
Effective verbal and written communication skills.
Strong problem-solving and critical-thinking abilities.
Ability to work independently while collaborating effectively with cross-functional teams.
Commitment to professionalism, confidentiality, and customer service.
Proficiency with electronic medical records and standard business software applications.
Visual acuity to read a computer screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus.
Hearing acuity to converse with staff and customers in person and by phone.
Ability to stoop, bend, kneel, reach with hands, and lift and move 10 pounds on a regular basis, and up to 25 pounds occasionally; ability to sit for hours at a time.

Working Conditions:
This position functions indoors in a medical/business environment. Employee will be exposed to moderate noise levels and interruptions. Visual acuity to read and compute screen and paper documents; close and distance vision, peripheral vision depth perception, ability to adjust focus; hearing acuity to converse with staff and customers. Ability to sit for hours at a time. Employee will be exposed to moderate noise levels and interruptions.

Travel:
Travel between local offices when necessary.

Pay:

$24-$32

Quick Apply

Refine Your Search

authorization specialist jobs in la mesa, ca

Authorizations Specialist

Call Center Specialist - Per Diem - Cardiology

Patient Service Specialist - ED - Hillcrest

Patient Service Specialist - ED - Chula Vista

Scheduling Specialist - Urology - Torrey Pines

Care Specialist - Inpatient - Sharp Rees-Stealy - Per Diem - Day Shift

Referrals Specialist Lead (San Ysidro, CA)

Field Support Specialist - Hybrid - San Diego, CA

Patient Service Specialist - OB - Hillcrest

Patient Service Specialist - Chest Medicine - La Jolla

Medical Records/HIS Specialist - El Cajon

HIS Specialist - El Cajon (TEMP)

Authorization Support Specialist

PACE Referrals Supervisor

Eligibility Coordinator

Department Care Support Coordinator (Administrative Support Coordinator I )

Claims Service Specialist

Front Desk

Department Care Support Coordinator (Administrative Support Coordinator I )

Referrals Care Coordinator (Bilingual Arabic/Farsi)

I want to receive the latest job alert for authorization specialist in la mesa, ca

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