Top 18 Authorization specialist Jobs in Fresno, Ca

Admissions Coordinator / Liaison Specialist
Sierra View Homes —Reedley, CA
- $60,000 - $70,000 a year
- Weekends as needed
- Background check
- Microsoft Excel
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
9d
Referral Specialist
Community Health System —Fresno, CA
- $23.00 - $29.27 an hour
- 8 hour shift
- Customer service
- Administrative experience
- High school diploma or GED
- 403(b) matching
- Tuition reimbursement
Referral Specialist
Valley Health Team, Inc. —Clovis, CA
- $23.13 - $32.02 an hour
- Full-time
- Background check
- Spanish
- OSHA
- Health insurance
- Dental insurance
Quick Apply
10d
Referral Specialist, Occupational Medicine, Full Time
Saint Agnes Medical Center —Fresno, CA
- $23.50 - $30.51 an hour
- Full-time
- CPR Certification
- Customer service
- Medical office experience
1d
Medical Referral Specialist
Todos Para La Salud Community Clinic —Fresno, CA
- $19 - $21 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Data Specialist
WESTCARE CALIFORNIA INC —Fresno, CA
- $24 an hour
- Full-time
- CDL B
- CPR Certification
- Current TB test
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Fresno, CA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
10d
Referral Representative (temp)
Family HealthCare Network —Fresno, CA
- $21.00 - $28.60 an hour
- Full-time
- Microsoft Word
- Primary Care
- Mid-level
- Paid training
Billing Specialist
WESTCARE CALIFORNIA INC —Fresno, CA
- $24 an hour
- Full-time
- CPR Certification
- Current TB test
- Mid-level
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Insurance Denial Specialist
Madera Community Hospital —Madera, CA
- $25 - $32 an hour
- Full-time
- Nursing
- LVN
- RN License
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Medical Assistant (Fresno)
Concentra —Fresno, CA
- $23.00 - $24.99 an hour
- Full-time
- Blood sampling
- Vital signs
- High school diploma or GED
- Commuter assistance
- Disability insurance
2d
Provider Engagement Specialist - Field in Fresno County
Alignment Healthcare USA, LLC —Fresno, CA
- $58,531 - $87,797 a year
- Extended hours
- Spanish
- Microsoft Excel
- Bachelor of Science
Quick Apply

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Admissions Coordinator / Liaison Specialist

Sierra View Homes
Reedley, CA

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
9 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
403(b)
Life insurance
Paid sick time

Qualifications

English
Administrative experience
High school diploma or GED
Medical administrative support
Organizational skills
Business Administration
Associate's degree

Full Job Description

Position Summary

The Admissions Coordinator serves as the primary point of contact for Skilled Nursing Facility (SNF) admissions and is responsible for coordinating the admission process from referral through resident arrival. This position develops and maintains relationships with hospitals, physicians, case managers, social workers, and community partners to facilitate timely admissions and promote Sierra View Homes' post-acute care services. The Admissions Coordinator collaborates with the interdisciplinary team to ensure regulatory compliance, accurate documentation, exceptional customer service, and positive outcomes for residents and referral partners. The position also provides admissions support for Independent Living and Assisted Living as assigned.

Essential Duties and Responsibilities

Admissions Coordination

Serve as the primary intake coordinator for Skilled Nursing Facility admissions.
Serve as the primary point of contact for incoming referrals for skilled nursing and post-acute care services.
Monitor and review referrals through referral management platforms (e.g., Ensocare, AIDA, and other approved referral systems).
Collaborate with the Director of Nursing and Nursing Home Administrator in evaluating referrals and determining admission eligibility.
Verify insurance coverage, eligibility, authorizations, and payer requirements for Medicare, Medi-Cal, HMOs, commercial insurance carriers, and other payers.
Complete and submit required insurance authorization and referral documentation.
Coordinate admissions with residents, responsible parties, and family members.
Prepare, review, and complete all admission documentation with residents and/or responsible parties.
Enter and maintain accurate resident information within the Electronic Health Record (EHR), including demographic information and face sheets.
Ensure all departments receive timely notification of pending admissions and communicate anticipated admission timelines.
Collaborate with Nursing, Therapy, Social Services, Business Office, Dietary, Activities, and other departments to ensure a smooth transition into the facility.
Respond professionally and promptly to inbound telephone inquiries regarding admissions and services.
Assist the Independent Living and Assisted Living programs with admission documentation and coordination as requested.
Maintain complete, accurate, and confidential admission records in accordance with HIPAA, federal and state regulations, and facility policies.

Referral Development and Community Relations

Develop and maintain strong professional relationships with hospital discharge planners, case managers, social workers, physicians, home health agencies, hospices, and other referral sources.
Conduct routine on-site visits to hospitals, physician offices, and community partners to strengthen referral relationships and support admission growth.
Participate in community outreach, marketing, networking, and business development activities to increase awareness of Sierra View Homes' services.
Represent Sierra View Homes professionally at community events, healthcare meetings, and networking opportunities.
Promote the organization's mission, services, and commitment to quality care while fostering positive relationships with referral partners.
Communicate regularly with referral sources regarding admission status and available services.

Collaboration and Quality

Participate in quality improvement initiatives related to admissions, customer satisfaction, and referral development.
Assist with tracking referral activity, admissions, denials, and conversion rates as requested.
Work collaboratively with the interdisciplinary team to support continuity of care and successful resident transitions.
Perform other duties as assigned.
Actively support the mission, vision, values, and strategic goals of Sierra View Homes.

· Attend and actively participate in weekly rehab meetings to support admission planning and care coordination.

Qualifications

Education

High school diploma or equivalent required.
Associate degree or college coursework in Business, Healthcare Administration, Marketing, or a related field preferred.

Experience

Minimum one (1) year of administrative or admissions experience, preferably in a skilled nursing facility, hospital, healthcare organization, or service-oriented environment.
Experience with insurance verification, admissions, case management, discharge planning, or referral coordination preferred.
Experience with electronic health records and referral management systems is desirable.

Knowledge, Skills, and Abilities

Knowledge of Medicare, Medi-Cal, managed care, and commercial insurance authorization processes preferred.
Excellent organizational, time management, and multitasking skills.
Strong verbal, written, and interpersonal communication skills.
Demonstrated customer service skills and professional demeanor.
Ability to build trust quickly with residents, families, referral partners, physicians, and healthcare professionals.
Ability to develop and maintain positive business relationships with referral sources.
Proficient in Microsoft Office (Word, Excel, Outlook) and electronic health record systems.
Ability to maintain strict confidentiality in accordance with HIPAA and facility policies.
Strong attention to detail, sound judgment, and problem-solving abilities.

Physical Requirements

Primarily a sedentary position requiring prolonged sitting, with the ability to stand and walk as needed.
Frequent walking throughout the facility and occasional travel between departments.
Frequent use of hands and fingers for keyboarding, writing, and operation of office equipment.
Occasional reaching, bending, stooping, and lifting up to 10 pounds.
Frequent travel to hospitals, physician offices, community agencies, and other referral partner locations.

Cognitive and Sensory Requirements

Ability to communicate effectively in person, by telephone, and electronically.
Ability to hear, speak, read, and write English sufficiently to perform assigned duties.
Visual acuity sufficient to read printed materials and computer screens.
Ability to analyze information, exercise sound judgment, prioritize competing demands, and maintain attention to detail in a fast-paced healthcare environment.

Working Conditions

Work is performed primarily in an office and healthcare environment with frequent interaction with residents, families, referral sources, physicians, hospitals, and interdisciplinary team members. Regular travel within the local service area is required to conduct hospital visits, community outreach, and business development activities. Occasional evening or weekend availability may be required to attend networking events, community functions, or to facilitate urgent admissions. The position requires flexibility, professionalism, and the ability to manage multiple priorities while maintaining excellent customer service.

Pay: $60,000.00 - $70,000.00 per year

Benefits:

403(b)
Dental insurance
Health insurance
Life insurance
Paid sick time
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

authorization specialist jobs in fresno, ca

Admissions Coordinator / Liaison Specialist

Referral Specialist

Referral Specialist

Referral Specialist, Occupational Medicine, Full Time

Medical Referral Specialist

Data Specialist

Customer Service Representative

Referral Representative (temp)

Billing Specialist

Insurance Denial Specialist

Medical Assistant (Fresno)

Provider Engagement Specialist - Field in Fresno County

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