Top 83 Authorization specialist Jobs in Irvine Ca

Referral Coordinator (Bilingual)
Share Ourselves —Newport Beach, CA
- $22.15 - $25.00 an hour
- Urgently hiring
- Microsoft Word
- Background check
- Spanish
- 403(b) matching
- AD&D insurance
Quick Apply
Medi-Cal Billing Specialist
Project Kinship —Santa Ana, CA
- $25 - $28 an hour
- Full-time
- Background check
- Microsoft Outlook
- Current TB test
- Health savings account
- Health insurance
Quick Apply
Medical Biller/AR Specialist
TruArc Health —Irvine, CA
- $22 - $25 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Member Services Representative (Chinese Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Mid-level
- In-person
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Member Services Representative (Korean Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Bilingual
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Intake Coordinator
CareConnect Health Services Inc —Costa Mesa, CA
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- COVID-19 protective measures
Quick Apply
Patient Access Representative I - OC Full Time Plus Weekend
City of Hope —Irvine, CA
- $22.73 - $30.23 an hour
- Weekends as needed
- Hospital
- High school diploma or GED
- Clinic
Patient Access Representative I - OC
City of Hope —Irvine, CA
- $22.73 - $30.23 an hour
- 8 hour shift
- Hospital
- High school diploma or GED
- Clinic
6d
Prior Authorization Department
One Stop Hospice Inc —Santa Ana, CA
- $25 an hour
- Overtime
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Authorization Specialist
Oso Home Care —Irvine, CA
- $21.00 - $25.90 an hour
- Full-time
- Background check
- Computer literacy
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Medical Assistant
Concentra —Irvine, CA
- $21.00 - $26.70 an hour
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Commuter assistance
- Disability insurance
3d
Health Information Specialist I
Datavant —Newport Beach, CA
- $24 an hour
- Overtime
- Microsoft Excel
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Scheduling Coordinator I
AltaMed Health Services Corporation —Santa Ana, CA
- $25.75 - $32.19 an hour
- Full-time
- Background check
- Spanish
- English
- 403(b) matching
- Paid holidays
8d
Reimbursement Specialist
Oso Home Care —Irvine, CA
- $25 - $31 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Quick Apply
Customer Care Specialist
SuperCare Health —Tustin, CA
- $17.00 - $28.35 an hour
- Full-time
- Background check
- Spanish
- Microsoft Outlook
- Paid training
- Health insurance
Quick Apply
Medical Assistant PRN
Concentra —Santa Ana, CA
- $21.00 - $26.71 an hour
- PRN
- Microsoft Excel
- Vital signs
- Microsoft Outlook
9d
Billing and Credentialing Specialist
Clinivoy LLC —Irvine, CA
- $23 - $28 an hour
- Full-time
- HIPAA
- Clinic experience
- Research
- Health insurance
Quick Apply
Prior Auth Coordinator
REGAL MEDICAL GROUP, INC —Orange, CA
- $23 - $25 an hour
- Overtime
- Microsoft Outlook
- Word processing
- Medical office experience
- Continuing education credits
- Paid holidays
Quick Apply
Part Time Office Specialist II - Police Investigations Division
City of Anaheim, CA —Anaheim, CA
- $23.99 - $30.62 an hour
- Part-time
- Word processing
- Basic math
- English
- Retirement plan
7d
Member Liaison Specialist (Customer Service)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Tuition reimbursement
- Paid time off

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Referral Coordinator (Bilingual)

Share Ourselves -
Newport Beach, CA

Quick Apply

Job Details

Full-time
$22.15 - $25.00 an hour

Benefits

403(b) matching
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance
Retirement plan

Qualifications

Microsoft Word
Spanish
Customer communication
Microsoft Excel
Microsoft Outlook
In-person customer service
Practice management software
HIPAA
English
Medical records
Health information regulatory compliance
Working with individuals from diverse cultural backgrounds
Patient interaction
Medical terminology

Full Job Description

We have an immediate opening for a Referral & Managed Care Coordinator. The key candidate will have healthcare referrals & managed care plan experience, be detail oriented and a team player.

Language: English and Spanish required.

Regular attendance and on-time arrival are conditions of retention in this position.

In office hours are 8:30 am - 5:00pm

The pay range for this position is $22.15 to $25.00 depending on experience and qualification/education.

JOB SUMMARY:

Working in conjunction with the clinic staff, the Referral and Managed Care Coordinator secures specialist services and referrals, diagnostic tests, and procedures from local healthcare agencies and providers, assuring timely processing of referral requests for patients with and without health insurance. This position informs patients as needed of their referral status and may assist in appointment scheduling. The Referral and Managed Care Coordinator maintains appropriate records and tracks volume of workload for department review. This position is critical in navigating the Utilization review and management of our patient population and to coordinating appropriate follow through to assure compliance and adheres to health insurance utilization regulations.

RESPONSIBILITIES

Coordinates and manages authorizations for referrals from our primary care providers to outside providers, including to medical specialists and outside facilities for special testing.
Coordinates and manages authorizations for certain specialists and treatments when this is required by patients' medical insurance plans.
Facilitates and ensures the receipt of consult notes and test results after a patient has been referred to an outside provider.
Communicates with primary care provider (PCP) to inform of any delays or barriers to patients care.
Serves as referral department liaison to outside agencies and partners.
Communicates with Supervisor when unable to process all referrals or follow-ups to avoid delays.
Carries out patient discharge processes; clarifies and provides patients with follow up care instructions and referrals.

EDUCATION/QUALIFICATIONS:

Minimum 1 (one) year experience in healthcare environment with patient interaction, customer service responsibilities and well versed in medical terminology.
1 (one) year of referral experience preferred; including working with physicians’ offices, hospitals, managed care and other medical service sites.
Medical Assistant experience (front or back office) is beneficial by not required
Demonstrated “detail approach” to all administrative and organizational duties including setting priorities and meeting deadlines.
Excellent verbal and written communication skills. Must have good listening skills, and be able to effectively and clearly communicate
Bilingual in English and Spanish
Must be well versed in HIPAA laws with regard to medical records.
Works successfully and respectfully with our vulnerable patients population which includes patients with diverse backgrounds and cultures; mentally ill patients, patients experiencing homelessness, substance abuse patients, etc.
Proficient Use of Microsoft Products (Word, Excel, Outlook) Internet, and Practice Management Systems.
Uses electronic medical record software (Epic); develops proficiency within 3 months of training

************************************************

What do we offer? A competitive salary and a generous benefits package for our full time team members which includes Health Insurance options covered at 100% or 90% of cost for team members and 50% for eligible dependents; We have group Medical, Dental and Vision, Flexible Spending Accounts, Basic Life insurance/AD &D, Voluntary Life Options, Long Term Disability, 403b Retirement Plan with employer match, Employee Assistance Program, Global Travel Assistance, Supplemental Accident, Critical Illness and Hospitalization plans offered offered, Tuition Reimbursement Program, 10 Paid Holidays, 10 Paid Vacation and 6 Sick Days.

All qualified candidates will be subject to an employment & criminal background check and must be able to provide proof of required Immunizations for healthcare facility. We will provide vaccines to new employee's if needed at no cost.

JobReq#: 202603RMCC1

Job Type: Full-time

Pay: $22.15 - $25.00 per hour

Benefits:

403(b) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Retirement plan
Tuition reimbursement
Vision insurance

Experience:

Healthcare: 1 year (Preferred)
Healthcare Referrals: 1 year (Preferred)

Language:

Spanish (Preferred)

Ability to Commute:

Newport Beach, CA 92660 (Required)

Work Location: In person

Quick Apply

Refine Your Search

authorization specialist jobs in irvine ca

Referral Coordinator (Bilingual)

Medi-Cal Billing Specialist

Medical Biller/AR Specialist

Member Services Representative (Chinese Speaking)

Member Services Representative (Korean Speaking)

Intake Coordinator

Patient Access Representative I - OC Full Time Plus Weekend

Patient Access Representative I - OC

Prior Authorization Department

Authorization Specialist

Medical Assistant

Health Information Specialist I

Scheduling Coordinator I

Reimbursement Specialist

Customer Care Specialist

Medical Assistant PRN

Billing and Credentialing Specialist

Prior Auth Coordinator

Part Time Office Specialist II - Police Investigations Division

Member Liaison Specialist (Customer Service)

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