Top 28 Prior authorization specialist Jobs in Hayward, Ca

Cancer Care Patient Administrative Specialist II - Admin Float Pool/New Patient Scheduling
Stanford Health Care —Newark, CA
- $32.56 - $36.66 an hour
- Full-time
- Mid-level
- Windows
- High school diploma or GED
Medical Coordinator - Behavioral Health
Solomon Medical —Hayward, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Nursing
- Skilled nursing facility
- Surgery
- Health savings account
- Health insurance
Quick Apply
2d
Cancer Center New Patient Administrative Specialist II
Stanford Health Care —Newark, CA
- $32.56 - $36.66 an hour
- Full-time
- Mid-level
- Windows
- High school diploma or GED
Medical Front Desk Specialist
Vascular Surgery —San Leandro, CA
- $25 an hour
- Overtime
- Spanish
- Clean driving record
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
Prior Authorization Specialist
PHIL —San Francisco, CA
- $19 - $22 an hour
- Full-time
- Mid-level
- Office
- Reliable transportation
Quick Apply
DME Documentation Criteria Reviewer
Hike Medical —San Francisco, CA
- $90,000 - $145,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Commercial
Claims Resolution Specialist
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $28 - $35 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Ambulatory Practice Coordinator 3
University of California San Francisco —Redwood City, CA
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Organ Allocation Coordinator I
Donor Network West —San Ramon, CA
- $25.24 - $31.55 an hour
- Weekends as needed
- Remote
- Customer service
- Mid-level
- Continuous improvement
Quick Apply
Operations Specialist, Experienced
Blue Shield of California —Oakland, CA
- $32.03 - $48.04 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
10d
Customer Service Representative
QUIPT HOME MEDICAL INC —Walnut Creek, CA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Medication Access Technician
University of California San Francisco —San Francisco, CA
- Full-time
- Spanish
- Writing skills
- Basic math
RCM Billing Specialist
Paradigm Oral Surgery —Pleasanton, CA
- Full-time
- Computer literacy
- HIPAA
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
15h
Operations Specialist, Senior
Blue Shield of California —Oakland, CA
- $81,950 - $122,870 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Work from home
10d
Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $38.04 - $51.35 an hour
- 8 hour shift
- Clinic experience
- Mid-level
- 3 years
Clinical Support Specialist
PHIL —San Francisco, CA
- $26 - $28 an hour
- Full-time
- Remote
- Continuous improvement
- 2 years
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Revenue Cycle Specialist
Sprinter Health —Menlo Park, CA
- $21 - $25 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- Leadership
Quick Apply
Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $38.04 - $51.35 an hour
- 8 hour shift
- Mid-level
- Outpatient experience
- 3 years
Front Office II
Tri-Valley Oral Surgery & Dental Implants —San Ramon, CA
- $22 - $26 an hour
- Full-time
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Patient Auth and Referral Specialist I
CareMore Health Management Services, LLC —San Francisco, CA
- $19.80 - $29.70 an hour
- Full-time
- Medical office experience
- HIPAA
- High school diploma or GED
Quick Apply
3d

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Cancer Care Patient Administrative Specialist II - Admin Float Pool/New Patient Scheduling

Stanford Health Care -
Newark, CA

Apply Now

Job Details

Full-time
$32.56 - $36.66 an hour

Qualifications

Employee onboarding
Computer operation
Phone communication
Windows
High school diploma or GED
New hire orientation
Telephone systems
Multi-line phone systems
Medical terminology
Technical Proficiency
Office phone management

Full Job Description

1.0 FTE Full time Day - 08 Hour R2658162 Hybrid 107085008 Gynecology Oncology Blake Wilbur Administrative Support NEWARK, 7999 Gateway Blvd, California

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

A Brief Overview
The primary responsibility of the Patient Administrative Specialist (PAS) is to handle new patient coordination, surgery scheduling, and other front office functions in the outpatient clinical setting. A Patient Administrative Specialist supports any and all administrative tasks related to the daily operations of the clinic. The career progression for a PAS consists of 4 levels, reflecting a clear set of skills, knowledge, and education and experience of each level. Employees have the opportunity to move up the career ladder by demonstrating skills that meet business needs and the requirements at the higher level.

What you will do

Primary Function:
Proficiency of level I skills
AND
Performs the following:
Specialized Functions:
Patient Interaction and Registration:
- Greeting and Assistance: Greet patients, complete registration check-in & check-out, verify insurance information is accurate, and assist with general questions about appointments, authorization, payments, billing, and schedules.
- Patient Escalations: Seek, Identifies, and resolves simple escalations, provides service recovery where appropriate. Escalate complex issues as defined by clinic specific pathways.
- Referral Management & Appointment Scheduling: Track and manage incoming referrals and schedule appointments for patients in a timely manner. Adhere to scheduling instructions, referral guidelines, and insurance eligibility.
Administrative Tasks and Documentation
- Telephone and Messaging: Handles a significant volume of inbound and outbound patient calls, efficiently takes and routes messages, and manages patient correspondence.
- Documentation Management: Manage faxes, mail, file documentation, and maintain databases.
- Systems Use: Process forms and utilize phone and electronic medical records systems.
- Orientation: Welcome and orient new PAS staff members to best practices.
Communication and Coordination
- Professional Communication: Maintain communication with PAS staff, medical center/clinic staff, physicians, and patients.
- Provider Coordination: Communicate scheduling preferences and urgent needs with providers.
PLUS
Strong Proficiency In At Least ONE of the Following Specialized Functions:
- Medication Prior Authorization
- Specialized Data Collection & Coordination
- Cross-trained to support multiple providers, services, and/or departments
- Surgery/Procedure Scheduling
- New Patient Coordination

Education Qualifications

High School Diploma/GED.

Experience Qualifications

At least one (1) year of related healthcare experience (Including external experience) required.

Required Knowledge, Skills and Abilities

Knowledge
- Knowledge of Windows-based office software, computers, and operating systems
- Basic Knowledge of medical terminology
Skills
- Strong written and phone/verbal communication skills
- Phone skills, including familiarity with complex or multi-line phone systems
- Strong time management and organizational skills
- Ability to solve problems and manage multiple priorities
Abilities
- Actively listen to patients and colleagues
- Provide exceptional patient experience by empathizing with patients, demonstrating compassion and understanding while addressing their needs and concerns with sensitivity and professionalism
- Adjust communications to fit the needs and level of understanding of the receiver
- Exercise calmness in stressful situations
- Assist with welcoming & orienting new PAS staff members
- Demonstrate exemplary customer service and acts as a liaison between the front and back office
- Ability to acquire and develop departmental expertise

Physical Demands and Work Conditions

Physical Demands

Frequent Sitting.
Occasional Walking.
Occasional Standing.
Seldom Bending.
Seldom Kneeling.
Seldom Crawling.
Occasional Pushing and Pulling.
Occasional Reaching (above shoulder level).
Seldom Twisting and Turning (Neck and Waist).

Lifting

Occasional lifting of 0 - 10 lbs.
lifting of 11 - 20 lbs. 0 to 0 in height
lifting of 21 - 30 lbs. 0 to 0 in height
lifting of 31 - 40 lbs. 0 to 0 in height
lifting of 40+ lbs. 0 to 0 in height

Working Environment

Constant Other (please list each item under Comments):. Work is primarily performed in an office setting that is adequately lighted, heated and ventilated. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job

Blood Borne Pathogens

Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $32.56 - $36.66 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Apply Now

Refine Your Search

prior authorization specialist jobs in hayward, ca

Cancer Care Patient Administrative Specialist II - Admin Float Pool/New Patient Scheduling

Medical Coordinator - Behavioral Health

Cancer Center New Patient Administrative Specialist II

Medical Front Desk Specialist

Prior Authorization Specialist

DME Documentation Criteria Reviewer

Claims Resolution Specialist

Ambulatory Practice Coordinator 3

Organ Allocation Coordinator I

Operations Specialist, Experienced

Customer Service Representative

Medication Access Technician

RCM Billing Specialist

Operations Specialist, Senior

Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time - 8 Hour - Days

Clinical Support Specialist

Revenue Cycle Specialist

Temporary - Ambulatory Care - Pharmacy Technician - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time - 8 Hour - Days

Front Office II

Patient Auth and Referral Specialist I

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