Top 38 Prior authorization specialist Jobs in Beverly Hills, Ca

Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $25.00 - $39.69 an hour
- 8 hour shift
- Nursing
- LVN
- Hospital
Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $25.00 - $39.69 an hour
- 8 hour shift
- Background check
- Nursing
- LVN
Customer Solutions Specialist - Las Vegas, NV
AbbVie —Pasadena, CA
- $84,500 - $162,000 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Windows
- Paid holidays
- Health insurance
Payor Relations Specialist - Inpatient Rehab
California Rehabilitation Institute —Los Angeles, CA
- $78,000 - $115,000 a year
- Full-time
- LVN
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)
USC —Los Angeles, CA
- $26 - $34 an hour
- 8 hour shift
- Background check
- Medical office experience
- HIPAA
Financial Clearance Specialist III - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
USC —Los Angeles, CA
- $25.00 - $39.69 an hour
- 8 hour shift
- Medical office experience
- HIPAA
- Research
Authorization Monitoring and Tracking Specialist
Allcare Home Health —Glendale, CA
- $21 - $22 an hour
- Full-time
- Mid-level
- Home Health
- Organizational skills
- Paid holidays
- Dental insurance
Quick Apply
Medical Assistant/ Insurance verifier , authorization specialist
Apex Practice Management Group —Northridge, CA
- $22 an hour
- Full-time
- Spanish
- Internal Medicine
- HIPAA
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
Patient Services Specialist
TEEMA Group —Los Angeles, CA
- $25 - $27 an hour
- Full-time
- Physical & Rehabilitation Medicine
- HIPAA
- Mid-level
Quick Apply
10d
Medical Billing Specialist
Beverly Hills Oncology Me —Beverly Hills, CA
- $24 - $30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Paid holidays
- Disability insurance
Quick Apply
18h
Release of Information Specialist Mon–Fri 8:00 AM – 4:30 PM
Vital Holdings LLC —Los Angeles, CA
- $21 - $25 an hour
- Monday to Friday
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
1h
Release of Information Specialist
Vital Holdings LLC —Los Angeles, CA
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
Referral Clerk
T.H.E. Health & Wellness Centers —Los Angeles, CA
- $22 - $25 an hour
- Full-time
- Bilingual
- Spanish
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Advanced Therapies Benefits Specialist (Financial Clearance)
Shields Advanced Therapies —Los Angeles, CA
- $65,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
Quick Apply
Referrals Coordinator (Temp 6 months)
Clinica Romero —Los Angeles, CA
- $23.51 an hour
- Full-time
- Spanish
- HIPAA
- English
- Health insurance
Quick Apply
Scheduling Coordinator
TEEMA Group —Los Angeles, CA
- $20 - $25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
10d
Administrative Assistant/Floater
Rehab Specialists, Inc. —Santa Monica, CA
- $18.47 - $20.00 an hour
- Part-time
- Microsoft Word
- Background check
- Microsoft Excel
Quick Apply
CalAIM Billing & Accounts Receivable (AR) Specialist
Libertana —Sherman Oaks, CA
- $27 - $29 an hour
- Full-time
- Mid-level
- 3 years
- Organizational skills
Quick Apply
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Culver City, CA
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance

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Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

USC -
Los Angeles, CA

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Job Details

Full-time
$25.00 - $39.69 an hour

Qualifications

Fire Safety Certification
Research
High school diploma or GED
Negotiation

Full Job Description

Job ID REQ20175584 Category Clinical Administration

The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment.

The Oncology Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for chemotherapy treatments. The Specialist will be instrumental in obtaining written documentation, tracking, and reporting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical staff and pharmacy to ensure a seamless process to the patients receiving chemotherapy treatments. This position will report to the Supervisor of Clinical Authorizations and will assist in the operation of the Norris Clinical Authorization Center.

Essential Duties:

Actively obtain written clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff
Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD coding
Research payers medical policy requirements for chemotherapy treatment authorizations and understand process for submitting pre-certification/pre- determination requests
Utilize Excel Macro tracking log to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift.
Follow-up on outstanding authorization requests and on medical documentation requests in a timely manner.
Enroll patients in manufacturer patient assistance programs as needed and follow-up regarding enrollment and/or medication reimbursements
Communicate with a medical/clinical/pharmacy staff and patients on authorization status/outcome.
Employ compliance checker for Medicare eligible chemotherapy/infusion treatment authorizations and scan/email ABNS to front area reception for signatures as needed.
Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment
Exhibit sensitivity to the patients at all times concerning privacy and confidentiality while accessing medical records for chemotherapy treatments to process authorizations requests
Scan all authorizations into Keck care under the respective patient accounts and if applicable, forward authorized orders to pharmacy for dispensing
Maintain medical policy coverage binder and keep updated with new policies and forms regarding medications FDA indicated usage and authorization requirements.
Document authorization outcome in all financial systems.

Performs other duties as assigned.

Required Qualifications:

Req High school or equivalent Or equivalent evidence in file.
Req 2 years of experience in a hospital, medical office/doctor’s office or working for a health insurer required.
Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills

Preferred Qualifications:

Pref Specialized/technical training Vocational Nursing Degree.
Pref Oncology experience is preferred
Pref Medical prior authorizations or claims experience in a managed care setting highly preferred
Pref Knowledge of the health insurance industry and claims processing a plus
Pref Licensed Vocational Nurse - LVN (CA DCA)

Required Licenses/Certifications:

Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Job ID REQ20175584 Posted Date 06/02/2026

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Refine Your Search

prior authorization specialist jobs in beverly hills, ca

Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Customer Solutions Specialist - Las Vegas, NV

Payor Relations Specialist - Inpatient Rehab

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

Financial Clearance Specialist III - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Authorization Monitoring and Tracking Specialist

Medical Assistant/ Insurance verifier , authorization specialist

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

Patient Services Specialist

Medical Billing Specialist

Release of Information Specialist Mon–Fri 8:00 AM – 4:30 PM

Release of Information Specialist

Referral Clerk

Advanced Therapies Benefits Specialist (Financial Clearance)

Referrals Coordinator (Temp 6 months)

Scheduling Coordinator

Administrative Assistant/Floater

CalAIM Billing & Accounts Receivable (AR) Specialist

Epic Ambulatory Bones Application Engineer Specialist - 6079188

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