Top 535 Prior authorization remote Jobs in California

UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)
Alignment Healthcare USA, LLC —Orange, CA
- $41,472 - $62,208 a year
- Part-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
4d
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) - National General
National General —California
- $21.20 - $50.24 an hour
- Online Application
- Remote
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Work from home
Care Manager – Patient Support Call Center -Remote
IQVIA —Redondo Beach, CA
- $22 - $23 an hour
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Work from home
UM Coordinator, Pre-Service (Remote | Pacific Time Schedule)
Alignment Healthcare USA, LLC —Orange, CA
- $41,472 - $62,208 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
2d
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
12h
UM Coordinator, Inpatient (Remote | Pacific Time Schedule)
Alignment Healthcare USA, LLC —Orange, CA
- $41,472 - $62,208 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
2d
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
7d
Pharmacy Care Coordinator
Optum —El Segundo, CA
- $17.98 - $32.12 an hour
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
Licensed Child Psychiatrist | Build Your Practice with Lean Medical, $400 Per Hour
Lean Medical Inc —California
- $250,000 - $500,000 a year
- Choose your own hours
- Remote
- Medicine
- Psychiatry
- Adults
Quick Apply
Senior Commissioning Agent
P2S —San Jose, CA
- $115,000 - $150,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Engineering
- Paid training
- AD&D insurance
Quick Apply
9d
Rheumatology Advanced Practice Provider (Physician Assistant or Nurse Practitioner)
Southland Arthritis —Corona, CA
- From $180,000 a year
- Part-time
- Background check
- Mid-level
- Clinic
- Relocation assistance
- Health insurance
Quick Apply
Licensed Psychologist | Build Your Insurance-Based Practice with Lean Medical
Lean Medical Inc —California
- $100,000 - $350,000 a year
- Choose your own hours
- Remote
- Adults
- Mid-level
- Outpatient experience
Quick Apply
Asbestos Abatement Technician (Ventura County)
Abatex —Newbury Park, CA
- $18.00 - $33.80 an hour
- 8 hour shift
- Hybrid work
- Clean driving record
- OSHA
- Customer service
- COVID-19 protective measures
- Paid holidays
Quick Apply
Applications Sales Specialist – TFF (Pulse) Portfolio
Formulatrix, Inc. —San Francisco, CA
- From $90,000 a year
- Full-time
- Remote
- Clean driving record
- Up to 50% travel
- Bachelor of Science
- Health insurance
- 401(k)
Quick Apply
Field Service Representative
PDS —Palo Alto, CA
- $34 an hour
- Clean driving record
- Mid-level
- 3 years
- Commuter assistance
- Paid holidays
Quick Apply
Contact Center Representative I
Total Quality Consulting —Glendale, CA
- $22.52 - $32.08 an hour
- Full-time
- Research
- High school diploma or GED
- Conflict management
- Dental insurance
- 401(k)
Quick Apply
Inside Sales Manager
AMETEK —Rosemead, CA
- $95,000 - $120,000 a year
- Full-time
- 5 years
- ERP systems
- Office
- Health insurance
- Dental insurance
Quick Apply
Denial and Appeals Management Clerk
Riverside-San Bernardino Co. Indian Health, Inc —Grand Terrace, CA
- $22 - $23 an hour
- Weekends as needed
- Hybrid work
- Background check
- BLS Certification
- HIPAA
- Health insurance
- Dental insurance
3d
Field Service Technician
Technica USA —Rancho Cucamonga, CA
- $35 - $43 an hour
- Full-time
- Hybrid work
- Bilingual
- Up to 50% travel
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Staff Accountant Generalist
Jaco Engineering —Anaheim, CA
- From $35 an hour
- Full-time
- Microsoft Word
- Background check
- English
- Health insurance
- Dental insurance
Quick Apply

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prior authorization remote jobs near california

UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)

Alignment Healthcare USA, LLC -
Orange, CA

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Job Details

Part-time
$41,472 - $62,208 a year
4 days ago

Qualifications

Computer operation
Microsoft Excel
Microsoft Outlook
Inpatient experience
Medicare
Phone communication
Computer literacy
Medical coding experience in hospitals
English
Overseeing health insurance pre-authorization
Healthcare referral management
Documentation tools
Utilization management
Concurrent review in utilization management
Typing
Discharge planning in health services social work
Medical terminology
Hospital experience
File organization

Full Job Description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Alignment Health is seeking an organized, detail-oriented, and customer service-oriented remote UM Coordinator (inpatient) to join our UM team. This is a part-time weekend role that requires availability every Saturday and Sunday during Pacific Time hours. As an Inpatient UM Coordinator, you will assist with managing census and admissions, retrieving medical records, and supporting discharge planning while working closely with the Case Management (CM) Supervisor, Manager, and Director of Healthcare Services.

If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors, we're looking for you!

Schedule (Required)

Every Saturday and Sunday

- Option A: 7:00 AM - 4:00 PM Pacific Time
- Option B: 11:00 AM - 7:00 PM Pacific Time

GENERAL DUTIES / RESPONSIBILITIES:

Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF).
Obtain medical records from hospitals and SNF’s.
Attach medical records to authorizations.
Enter referral requests / authorizations in system using ICD 10 and CPT coding.
Monitor fax folders.
Complete and document tasks as assigned by nurse.
Maintain documentation on facilities contacted.
Assist with maintaining and updating member’s records.
Assist with mailing or faxing correspondence to facilities, related to, as needed.
Request medical records from facilities, etc., related to members activities, as needed.
Attend case management presentations and participates, as appropriate.
Recognize work-related problems and contributes to solutions.
Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.
Maintain confidentiality of information between and among health care professionals.
Be a positive team player.

Job Requirements:

Experience:

Required:

Inpatient concurrent review experience
Experience with census and admission management
Experience in discharge planning
Experience entering referrals and prior authorizations.
Experience with Medicare Advantage
Experience with hospital and / or facilities backend admissions
Knowledge of medical terminology
Knowledge of ICD10 and CPT codes
Knowledge of Medicare, HMO, MMO, managed care plans
Computer proficient

Preferred:

Medical assistant experience preferred
Knowledge working in Access Express / Portal, Epic preferred.

Education:

Required:

High school diploma or general education degree (GED) or (4) years' additional experience in lieu of education.

Preferred:

Medical Terminology Certificate preferred.

Training:

Required:

Preferred:

Specialized Skills:

Required:

Proficient in Microsoft Office (Outlook, Excel, Word)
Able to type minimum 50 words-per-minute (WPM).
Organized and detail oriented.
File systematically.
Good interpersonal skills.
Strong written, verbal, and telephonic communication skills
Able to read, write, and speak English fluently.

Preferred:

Licensure:

Required: None

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear.

2. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

3. The employee frequently lifts and / or moves up to 10 pounds.

4. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $41,472.00 - $62,208.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].

Quick Apply

Refine Your Search

prior authorization remote jobs in california

UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)

Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) - National General

Care Manager – Patient Support Call Center -Remote

UM Coordinator, Pre-Service (Remote | Pacific Time Schedule)

UM Prior Authorization Nurse (In office or remote)

UM Coordinator, Inpatient (Remote | Pacific Time Schedule)

Call Center Specialist - Per Diem - Cardiology

Pharmacy Care Coordinator

Licensed Child Psychiatrist | Build Your Practice with Lean Medical, $400 Per Hour

Senior Commissioning Agent

Rheumatology Advanced Practice Provider (Physician Assistant or Nurse Practitioner)

Licensed Psychologist | Build Your Insurance-Based Practice with Lean Medical

Asbestos Abatement Technician (Ventura County)

Applications Sales Specialist – TFF (Pulse) Portfolio

Field Service Representative

Contact Center Representative I

Inside Sales Manager

Denial and Appeals Management Clerk

Field Service Technician

Staff Accountant Generalist

I want to receive the latest job alert for prior authorization remote in california

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