Top 105 Authorization specialist Jobs in Beverly Hills Ca

Quality Assurance Clinical Review Specialist (Pasadena)
Hillsides —Pasadena, CA
- $28 - $31 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Residential
- AD&D insurance
- Paid holidays
Quick Apply
1d
Account Specialist
GracoRoberts —Carson, CA
- $52,000 - $55,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- ERP systems
- Health insurance
- Dental insurance
13d
Referral Tracking Coordinator
Comprehensive Community Health Centers —Glendale, CA
- $21 an hour
- Full-time
- Background check
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
3d
Lead Billing Collections Specialist (South Pasadena)
Hillsides —South Pasadena, CA
- $29 - $33 an hour
- Full-time
- Hybrid work
- Background check
- Customer service
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
1d
Patient Access Liaison - Rare Disease - US Field (West)
Amgen —Los Angeles, CA
- $158,394 - $222,256 a year
- Weekends as needed
- Doctoral degree
- Up to 50% travel
- HIPAA
- Disability insurance
- Health insurance
6d
Home Infusion Authorization Intake Specialist
The Misch Group —Los Angeles, CA
- $35 - $42 an hour
- Full-time
- Mid-level
- Paid holidays
- Health insurance
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13d
ABA Scheduler
Center for Social Dynamics —Los Angeles, CA
- $25 - $32 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- 401(k)
- Tuition reimbursement
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2d
Financial Care Specialist
HRC Fertility Management —Beverly Hills, CA
- $28 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
- Health insurance
- Dental insurance
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Appeals and Grievances Specialist II
L.A. Care Health Plan —Los Angeles, CA
- $60,778 - $91,166 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
- Wellness program
- Health insurance
Medical Front Office - Patient Service Specialist
Select Physical Therapy —Marina del Rey, CA
- $21 - $23 an hour
- Part-time
- Spanish
- Ability to walk for extended periods
- Physical & Rehabilitation Medicine
6d
Medical Assistant- Gonda Diabetes Center, Westwood
UCLA Health —Los Angeles, CA
- Overtime
- Vital signs
- OSHA
- Clinic
Principal Customer Engagement Specialist
Medtronic —Los Angeles, CA
- $112,000 - $168,000 a year
- Full-time
- Remote
- Surgery
- Hospital
- Driver's License
- Health savings account
- Employee stock purchase plan
Float Medical Assistant - Dermatology, West Los Angeles
UCLA Health —Los Angeles, CA
- $29.46 - $38.87 an hour
- Overtime
- Vital signs
- Clinic
- Outpatient
2d
Referral Manager
South Central Family Health Cent —Los Angeles, CA
- $70,000 - $75,000 a year
- Full-time
- Spanish
- HIPAA
- English
- Health insurance
- Dental insurance
Quick Apply
Billing Coordinator
Children's Institute, Inc. —Los Angeles, CA
- $29.96 - $35.95 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Current TB test
- Health savings account
- AD&D insurance
Quick Apply
Healthcare Admin / Authorization Specialist / Medical Biller
Lux Eye & Retina —Van Nuys, CA
- $20 - $25 an hour
- Full-time
- Background check
- Medical office experience
- HIPAA
- Paid time off
Quick Apply
14d
Scheduling Coordinator I
AltaMed Health Services Corporation —Los Angeles, CA
- $25.75 - $32.19 an hour
- Full-time
- Background check
- Spanish
- English
- 403(b) matching
- Paid holidays
Medical Assistant - Referral Clerk
NORTHEAST COMMUNITY CLINIC —Los Angeles, CA
- $23.75 - $28.75 an hour
- Weekends as needed
- Spanish
- CPR Certification
- Microsoft Excel
Quick Apply
Medical Assistant – Oncology, Santa Monica
UCLA Health —Santa Monica, CA
- $29.46 - $38.87 an hour
- Overtime
- Vital signs
- OSHA
- Mid-level
Administrative Assistant - PACE
Los Angeles Jewish Home —West Los Angeles, CA
- $21 - $23 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Current TB test
- 403(b) matching
- Paid holidays

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authorization specialist jobs near beverly hills ca

Quality Assurance Clinical Review Specialist (Pasadena)

Hillsides -
Pasadena, CA

Quick Apply

Job Details

Full-time
$28 - $31 an hour
1 day ago

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
401(k) 4% Match
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Professional development assistance
Loan forgiveness
Opportunities for advancement
Flexible schedule
Life insurance
Referral program
Retirement plan
Paid sick time

Qualifications

Master's degree in social work
Master's degree
Clinical documentation
Child abuse reporting laws
Quality assurance within healthcare

Full Job Description

Who We Are:

We are a premier provider dedicated to healing children and young adults, strengthening families, and transforming communities through quality, comprehensive services and advocacy. We envision a world in which children and young adults, families, and communities are able to heal, grow, and thrive.

Job Type: Full-Time, Non-exempt Opportunity

Starting Salary Range: $28.00 - $31.00 per hour (based on experience)

What We Offer:

An outstanding benefits package and numerous opportunities for career growth and advancement within our organization!

13 Paid Holidays per year including Juneteenth
Earn up to 16 days of paid vacation time, plus 50 hours of paid sick leave annually.
401(k) with no wait period and no vesting schedule
401(k) matching up to 4%
Medical insurance offering 3 HMO with Kaiser and Health Net, and also a PPO Plan
The Difference Card- Employer-funded benefit that works alongside an employee's health insurance plan to help offset out-of-pocket costs like copays, deductibles, and coinsurance.
Dental insurance both HMO & PPO options, with 100% employer paid for HMO employee only coverage plan
Vision insurance offers 100% employer-paid vision plan through EyeMed for you and your entire family
Life and AD&D insurance 100% employer paid up to two times the annual salary
Long Term Disability
Flexible Spending Account for Medical and Dependent Care
Employee Assistance Program
This role is eligible for Public Service Loan Forgiveness (PSLF)

ESSENTIAL FUNCTIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The essential functions include:

Oversee contract compliance (i.e. attending meetings, communicating/coordinating with Hillsides program managers/directors, training new staff, progress note/document reviews and audits, etc.)
Work in conjunction with directors from programs to ensure training/support to contracted Campus Based Services Psychiatrists regarding Department of Mental Health (DMH), Department of Children and Family Services (DCFS), Managed Care Plans (MCP) documentation compliance.
Attend Campus Based leadership meetings and County meeting/trainings and provide updates and trainings related to quality assurance/contract compliance as necessary
Responsible for tracking any contract changes regarding Campus Based programs such as Short Term Residential Therapeutic Program (STRTP), Commercial Insurance and Transitional Housing Placement Program (THPP)
Attend County meetings and trainings regarding Campus Based programs
Collaborate with Campus Based leadership in setting protocols and procedures related to quality assurance and compliance
Conduct clinical chart reviews, communicate and follow up on findings, and develop staff and manager trainings where gaps are identified
Assist with record requests review and processing
Assist QA/Compliance Department in maintaining compliance with regulations regarding the governing bodies of Community Care Licensing (Title 22), Counsel on Accreditation (COA), Medi-Cal Certification, Licensure, and Accreditations
Review and approve the fidelity of the clinical model of Hillsides governing bodies (assessments, client treatment plan, discharge summary, annual paperwork, diagnosis updates, etc.), and request/oversee Correction Action Plan (CAP) from clinical staff, including contracting psychiatrist, when fidelity is non-compliant
Make independent decisions and report those findings regarding concerns with quality care
Interface with outside agencies to maintain current procedures, involvement in and lead coordination of audits performed by regulatory agencies
Maintain robust knowledge base on compliance related to clinical documentation standards and their corresponding contracts. This will require active participation in clinical trainings offered within the agency or externally
Assist in Welligent Activities
Submit program authorizations into DMH portal
Prepare and submit detailed reports as needed
Prepare for meetings and record meeting minutes as needed
Other duties as required

EDUCATION, EXPERIENCE & CERTIFICATES

Master's degree from an accredited or state approved program degree in social work, psychology or related mental health/human services field, license preferred
Four years' experience with EPSDT related documentation and Short Doyle Medi-Cal
Knowledgeable of the prevailing governmental laws and regulations regarding the provision of mental health services, including confidentiality and limits thereof, the reporting of child abuse/neglect, and related regulations
Knowledgeable of and acts in accordance with Ethical and Professional Standards established by appropriate professional organizations, whether or not the individual is a member of any such organization
Able to maintain a non-judgmental attitude toward youth and families

TRAUMA INFORMED CARE (TIC)

Hillsides practices Trauma Informed Care (TIC) principles which recognizes the signs, symptoms, and widespread impact of trauma; Employees are asked to comprehensively integrate knowledge of Trauma Informed Care into policies, procedures, and practices with the goal to prevent re-traumatization which promotes healing of families, youth, individuals, and communities.

Hillsides is an Equal Opportunity Employer

We welcome applicants from all backgrounds and do not discriminate based on any legally protected characteristic, including race, color, religion, sex, gender identity or expression, sexual orientation, national origin, ancestry, disability, medical condition, age, veteran or military status, or marital status, in accordance with applicable federal, state, and local laws. We are committed to providing reasonable accommodation(s) for individuals with disabilities throughout the application and employment process.

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Professional development assistance
Referral program
Retirement plan
Vision insurance

Education:

Master's (Required)

Experience:

EPSDT related documentation: 4 years (Preferred)
Short Doyle Medi-Cal: 4 years (Preferred)

License/Certification:

BBS license (Preferred)

Work Location: Hybrid remote in Pasadena, CA 91105

Quick Apply

Refine Your Search

authorization specialist jobs in beverly hills ca

Quality Assurance Clinical Review Specialist (Pasadena)

Account Specialist

Referral Tracking Coordinator

Lead Billing Collections Specialist (South Pasadena)

Patient Access Liaison - Rare Disease - US Field (West)

Home Infusion Authorization Intake Specialist

ABA Scheduler

Financial Care Specialist

Appeals and Grievances Specialist II

Medical Front Office - Patient Service Specialist

Medical Assistant- Gonda Diabetes Center, Westwood

Principal Customer Engagement Specialist

Float Medical Assistant - Dermatology, West Los Angeles

Referral Manager

Billing Coordinator

Healthcare Admin / Authorization Specialist / Medical Biller

Scheduling Coordinator I

Medical Assistant - Referral Clerk

Medical Assistant – Oncology, Santa Monica

Administrative Assistant - PACE

I want to receive the latest job alert for authorization specialist in beverly hills ca

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