Top 173 Prior authorization Jobs in West Hills, Ca

Medical Billing/ Insurance Specialist- Cardiology Office
Cardiovascular Care Center —Simi Valley, CA
- $25 - $35 an hour
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
2d
Insurance Verifier
PHS Med Jobs —Encino, CA
- $24 - $27 an hour
- 8 hour shift
- Background check
- Surgery
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
Prior Authorization Coordinator
UCLA Health —Los Angeles, CA
- $30.36 - $43.49 an hour
- Computer literacy
- Data analysis skills
- High school diploma or GED
14d
Pre-Registration Representative
UCLA Health —Los Angeles, CA
- $30.36 - $43.49 an hour
- Mid-level
- Typing
- Medical terminology
9d
UM Prior Authorization Nurse (In office or remote)
Thrifty Management Services, Inc. —Chatsworth, CA
- $70,000 - $92,500 a year
- Overnight shift
- Hybrid work
- Background check
- Nursing
- LVN
- Free parking
- Health insurance
Quick Apply
Patient Access Representative - Per Diem
UCLA Health —Los Angeles, CA
- $41.32 an hour
- Weekends as needed
- Spanish
- Microsoft Outlook
- Basic math
9d
Intake Coordinator (Neuromodulation Division)
UCLA Health —Los Angeles, CA
- $35.47 - $48.82 an hour
- Full-time
- Microsoft Outlook
- Psychiatry
- Medical office experience
1d
Transplant Referral Coordinator
UCLA Health —Los Angeles, CA
- $30.36 - $43.49 an hour
- Microsoft Word
- Spanish
- Microsoft Excel
- Referral program
Patient Service Representative - Burbank Breast Care
UCLA Health —Burbank, CA
- $30.36 - $43.49 an hour
- Clinic
- Entry level
1d
Patient Access Representative - Santa Monica (Part-Time)
UCLA Health —Santa Monica, CA
- $30.13 - $39.75 an hour
- Part-time
- Microsoft Outlook
- Basic math
- Mid-level
Patient Support Representative - Family Medicine, Santa Monica
UCLA Health —Santa Monica, CA
- $30.36 - $43.49 an hour
- Medical office experience
- Mid-level
7d
Medical Assistant/ Insurance verifier , authorization specialist
Apex Practice Management Group —Northridge, CA
- $22 an hour
- Full-time
- Spanish
- Internal Medicine
- HIPAA
Quick Apply
Administrative Assistant III - Oculoplastics, Westwood
UCLA Health —Los Angeles, CA
- $30.36 - $43.49 an hour
- Medical office experience
- Research
- Mid-level
Patient Intake Specialist
Unicare Health —Thousand Oaks, CA
- 8 hour shift
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
8d
Pharmacy Technician - Prior Authorization - Medical Network - Hybrid
Cedars-Sinai —Beverly Hills, CA
- $25.00 - $37.15 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Data entry
- Work from home
Administrative Coordinator, Global Mobility & Treasury
NMB Technologies Corporation —Chatsworth, CA
- $27.82 - $41.73 an hour
- Full-time
- Google Workspace
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Intake Coordinator - INFUSION PHARMACY
Oso Home Care —Burbank, CA
- $26 - $33 an hour
- Full-time
- Background check
- Office
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Patient Care Coordinator
CLAVA Health —Thousand Oaks, CA
- $25 - $35 an hour
- Full-time
- HIPAA
- Communication skills
- Entry level
- Paid training
- Paid time off
Quick Apply
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)
Keck Medical Center of USC —Glendale, CA
- $26 - $34 an hour
- 8 hour shift
- Background check
- Hospital
- Medical office experience
Pharmacy Technician (Part-Time)
Advantage Healthcare Services —Northridge, CA
- $20 - $25 an hour
- Part-time
- High school diploma or GED
- Organizational skills
- Communication skills
- Health insurance
- Dental insurance
Quick Apply

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Medical Billing/ Insurance Specialist- Cardiology Office

Cardiovascular Care Center
Simi Valley, CA

Quick Apply

Job Details

Full-time
$25 - $35 an hour
2 days ago

Benefits

Health insurance
Paid time off
Employee discount

Qualifications

Customer communication
Medical office experience
High school diploma or GED
Attention to detail
Patient interaction
Medical Billing & Coding
Associate's degree

Full Job Description

** ONLY experienced medical insurance specialist apply

Job Type: Full-time
Location: Simi Valley, CA

About the Position

Join an established, patient-centered cardiology practice where your work will make a direct difference in patients’ ability to access timely cardiovascular care. We are seeking an experienced, highly organized Insurance Specialist to serve as a key liaison among patients, insurance plans, and our clinical and administrative teams.

This is an important role for someone who understands the urgency, complexity, and detail required in benefits verification, eligibility, prior authorizations, billing, and denial resolution. The ideal candidate is proactive, persistent, accurate, and comfortable managing multiple payer requirements while maintaining professional and compassionate communication with patients.

Responsibilities

Benefits and Eligibility

Verify active insurance coverage, eligibility, benefits, network status, referral requirements, and patient financial responsibility before scheduled visits, diagnostic testing, procedures, and services.
Review benefits for copays, deductibles, coinsurance, out-of-pocket requirements, and coverage limitations.
Identify insurance discrepancies or coverage concerns promptly and communicate necessary information to patients and the practice team.
Maintain accurate patient insurance information in the electronic health record and practice management system.

Prior Authorizations and Referrals

Initiate, submit, track, and follow up on prior authorization requests for cardiology office visits, diagnostic testing, imaging, procedures, and prescribed medications.
Communicate with insurance plans, utilization-management departments, patients, providers, and external facilities regarding authorization requirements and status.
Track authorization numbers, approval dates, expiration dates, denials, and required follow-up to prevent delays in patient care.
Prepare and submit supporting clinical documentation for authorization requests under provider direction.
Identify denied or pending requests promptly and coordinate next steps, including requests for additional information, appeals, and peer-to-peer reviews as directed by the provider.

Billing and Claim Follow-Up

Assist with medical billing workflows, including claim review, charge capture support, payment posting coordination, and account follow-up.
Review claim denials, rejections, and underpayments; identify root causes and take appropriate action for correction, resubmission, appeal, or follow-up.
Communicate with insurance carriers to resolve payer issues, claim-status questions, and billing discrepancies.
Work collaboratively with the billing team to improve clean-claim submission and reduce preventable denials.
Maintain accurate documentation of insurance communications, authorization activity, billing follow-up, and claim-resolution efforts.

Qualifications

High school diploma or equivalent required; associate degree, medical billing certification, or related training preferred.
Minimum [2] years of recent experience in a medical office insurance, billing, authorization, benefits, eligibility, or revenue-cycle role required.
Demonstrated experience verifying insurance eligibility and benefits, obtaining prior authorizations, and resolving insurance-related issues.
Experience with medical billing, claim denials, appeals, payment posting, and accounts receivable follow-up preferred.
Knowledge of commercial insurance, Medicare, Medicare Advantage, managed-care plans, and payer portal systems preferred.
Proficiency with electronic health records, practice management systems, insurance websites, and Microsoft Office.
Excellent attention to detail, organization, problem-solving, follow-through, and written and verbal communication skills.
Ability to prioritize competing tasks, meet deadlines, and work effectively in a fast-paced team environment.

Benefits

[Paid time off]
[Other benefits]

To Apply: Please submit your resume and a brief cover letter highlighting your experience with insurance benefits, eligibility verification, prior authorizations, billing, claim follow-up, and denial resolution.

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Benefits:

Employee discount
Health insurance
Paid time off

Experience:

Medical Assisting: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in west hills, ca

Medical Billing/ Insurance Specialist- Cardiology Office

Insurance Verifier

Prior Authorization Coordinator

Pre-Registration Representative

UM Prior Authorization Nurse (In office or remote)

Patient Access Representative - Per Diem

Intake Coordinator (Neuromodulation Division)

Transplant Referral Coordinator

Patient Service Representative - Burbank Breast Care

Patient Access Representative - Santa Monica (Part-Time)

Patient Support Representative - Family Medicine, Santa Monica

Medical Assistant/ Insurance verifier , authorization specialist

Administrative Assistant III - Oculoplastics, Westwood

Patient Intake Specialist

Pharmacy Technician - Prior Authorization - Medical Network - Hybrid

Administrative Coordinator, Global Mobility & Treasury

Intake Coordinator - INFUSION PHARMACY

Patient Care Coordinator

Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)

Pharmacy Technician (Part-Time)

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