Top 45 Prior authorization specialist Jobs in Covina, Ca

Prior Authorization Specialist
Infusion For Health —Brea, CA
- $23 - $27 an hour
- Full-time
- Microsoft Word
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
7d
Pharmacy Order Entry Clerk for night and graveyard shift
Apex Pharmacy —Irwindale, CA
- $20 - $24 an hour
- Weekends only
- Management
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Admissions Specialist
Royal Terrace Healthcare —Duarte, CA
- $25 - $30 an hour
- Full-time
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
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
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
Intake Specialist
SpecialtyCare Rx —Diamond Bar, CA
- $30 - $35 an hour
- Full-time
- Management
- Mid-level
- Office
Quick Apply
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
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
Prior Authorization Specialist
Infusion4Health Inc —Brea, CA
- $23 - $27 an hour
- Full-time
- Microsoft Word
- Mid-level
- Clinic
Quick Apply
7d
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
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
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
Admissions Specialist
Royal Gardens Healthcare —Alhambra, CA
- From $25 an hour
- Full-time
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
1d
Member Services Representative (Bilingual - Chinese)
ASTIVA HEALTH INC —Orange, CA
- $25 - $28 an hour
- Full-time
- Background check
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Member Services Specialist (Bilingual - Korean)
Astiva Health —Orange, CA
- $25 - $28 an hour
- Full-time
- Background check
- Mid-level
- Fair chance
- Health insurance
- Dental insurance
Quick Apply
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
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
Biller IV - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $30.94 - $38.48 an hour
- Full-time
- Background check
- Mid-level
- Math
- Health insurance
- Retirement plan
Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Pasadena, CA
- $26.00 - $41.28 an hour
- 8 hour shift
- Background check
- Microsoft Excel
- Customer service
13d
Patient Services Specialist
Keck Medical Center of USC —Los Angeles, CA
- $22 - $27 an hour
- Full-time
- Background check
- HIPAA
- High school diploma or GED
- Health insurance
1d

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Prior Authorization Specialist

Infusion For Health -
Brea, CA

Quick Apply

Job Details

Full-time
$23 - $27 an hour
7 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Appeals
Medicare
Managed care
Spreadsheets
Word embeddings
Medicaid health insurance
Pre-authorization review for utilization management
Medicare regulations
Medicaid regulations
Medicaid
Documentation review

Full Job Description

Infusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Arizona, Nevada, Washington, Colorado, and Missouri. Our center is unique and offers individual comfortable private rooms for our patients. Our mission is to provide exceptional service in the administration of infusion therapy in a comfortable, patient-focused environment by providing exemplary professional clinical care.

Our company is continuing to grow and we're looking to add a Prior Authorization Specialist to support our patient care operations department.

This is a full-time, 5 days a week position, onsite at our Brea HQ office.

Compensation: $23-$27/hr DOE + Benefits

Key Responsibilities:

Responsible for ensuring timely, accurate submission follow-up and approval of Authorizations. Work with urgency, high-quality and high communication with patients, insurance and additional stakeholders as needed.
Review the accuracy and completeness of the information requested and ensure that all supporting documents are present
Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
Collaborate with other departments to assist in obtaining prior authorizations/appeals
Document all interactions with insurance companies or other stakeholders within the company system
Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile
Proactively work on prior authorizations that are due to be expired
Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
Other duties as assigned

Education and/or Experience Needed:

At least 2 years experience in infusion or pharmacy prior authorization is required
At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow
Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
Intermediate level skills in Microsoft Excel & Word

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

prior authorization: 2 years (Required)
Medicare, Medicaid reimbursement: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in covina, ca

Prior Authorization Specialist

Pharmacy Order Entry Clerk for night and graveyard shift

Admissions Specialist

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

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

Intake Specialist

Customer Solutions Specialist - Las Vegas, NV

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

Prior Authorization Specialist

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

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

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

Admissions Specialist

Member Services Representative (Bilingual - Chinese)

Member Services Specialist (Bilingual - Korean)

Lead Billing Collections Specialist (South Pasadena)

Authorization Monitoring and Tracking Specialist

Biller IV - HB Patient Financial Services - FT Days

Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Patient Services Specialist

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