Top 30 Prior authorization specialist Jobs in Irvine Ca

Patient Access Representative III - OC Per Diem
City of Hope —Irvine, CA
- $25.78 - $36.09 an hour
- Per diem
- Clinic experience
- Mid-level
- High school diploma or GED
Patient Access Liaison - Long Beach, CA
Amgen —Long Beach, CA
- $158,394 - $222,256 a year
- Weekends as needed
- Nursing
- Doctoral degree
- Up to 50% travel
- Disability insurance
- Health insurance
12d
Patient Access Representative I - OC - Part Time
City of Hope —Irvine, CA
- $22.73 - $30.23 an hour
- Part-time
- Hospital
- High school diploma or GED
- Clinic
5d
Member Services Specialist (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
Dental Front Office/Billing
Hankins Dental Group —Long Beach, CA
- $22 - $28 an hour
- Part-time
- Spanish
- Dental office
- HIPAA
Quick Apply
Member Services Specialist (Bilingual - Spanish)
Astiva Health —Orange, CA
- $25 - $28 an hour
- Full-time
- Spanish
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
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
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
5d
Reimbursement Specialist
Oso Home Care —Irvine, CA
- $25 - $31 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Prior Authorization Specialist
Infusion4Health Inc —Brea, CA
- $23 - $27 an hour
- Full-time
- Microsoft Word
- Mid-level
- Clinic
Quick Apply
14d
Scheduling Specialist
MemorialCare Medical Foundation —Long Beach, CA
- $22.50 - $31.57 an hour
- 8 hour shift
- Customer service
- Medical office experience
- BLS Certification
- Health insurance
1d
Reimbursement Specialist, Appeals
Lucid Diagnostics —Lake Forest, CA
- Full-time
- HIPAA
- Mid-level
- Bachelor's degree
- Employee stock purchase plan
- Paid holidays
Quick Apply
Intake Specialist
SpecialtyCare Rx —Diamond Bar, CA
- $30 - $35 an hour
- Full-time
- Management
- Mid-level
- Office
Quick Apply
Biller IV - HB Patient Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $32.81 - $40.80 an hour
- Full-time
- Background check
- Mid-level
- Math
- Health insurance
- Retirement plan
Release of Information Specialist - MON - FRI 8:00AM - 4:30 PM
Vital Holdings LLC —Orange, CA
- $21 - $25 an hour
- Monday to Friday
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
1d
Medical Billing Specialist
Paragon Health Group —Newport Beach, CA
- $24 - $28 an hour
- Full-time
- Surgery
- HIPAA
- Research
Quick Apply
Billing and Credentialing Specialist
Clinivoy LLC —Irvine, CA
- $23 - $28 an hour
- Full-time
- HIPAA
- Clinic experience
- Research
- Health insurance
Quick Apply
Admissions Specialist
Corona Post Acute —Corona, CA
- $23 - $25 an hour
- Full-time
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
1d
Front Desk Receptionist / Billing specialist
Corona Optometry —Corona, CA
- $17 - $21 an hour
- Part-time
- Bilingual
- Google Workspace
- Office
- Vision insurance
Quick Apply
Senior IT Systems Engineer I
Rocket Lab Corporation —Long Beach, CA
- $115,000 - $140,000 a year
- Azure
- 5 years
- Office
Quick Apply

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Patient Access Representative III - OC Per Diem

City of Hope -
Irvine, CA

Apply Now

Job Details

Per diem
$25.78 - $36.09 an hour

Qualifications

Customer communication
Employee relationship building
Clinic experience
High school diploma or GED
Medical terminology

Full Job Description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This is a Per Diem Opportunity

This function plays a critical role on the care team providing patients an excellent, compassionate experience for checking in and out of appointments, coordinating future visits and answering as well as addressing patient needs through inbound calls. This role requires a high level of independent judgement, customer service, communication and multi-tasking to successfully coordinate the scheduling of patient appointments across multiple hospital departments. This individual is expected to utilize telecommunications and computer information systems to create accounts, verify information and insurance, collect co-pays, schedule and re-schedule complex appointments. Additional duties include regular communication with physicians, nurses and other care team members as well departments to create a foster teamwork and seamless clinic operations.

As a successful candidate, you will:

Registration and Scheduling

Demonstrates an in-depth understanding of the flow of the patient registration and scheduling process within the paper and electronic environments. Registers, pre-registers, consents and schedule all patient appointment types, across the clinics, ancillary areas and hospital. Creates pre-registration record and links pre-registration record to scheduled appointments. Proactively coordinates appointments with other functional areas. Maintains department productivity, accuracy, and quality assurance standards while performing these duties. Ensures data is entered accurately for all patient demographic and insurance information. Completes all required legal documents and obtains and scans all other related documents. Performs cash collection functions, patient pricing estimates, ETC admission.
Ensures that financial protocols and requirements are met while providing access to service at COH facilities by reviewing account documentation. Maintains and applies current knowledge of insurance requirements when verifying eligibility and confirms authorization is secured prior to forwarding patients to service delivery areas; escalates unsecure financial accounts to management. Provides patients with itineraries, advance beneficiary notice and written instructions for tests and procedures as applicable. Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues and ensuring financial clearance of account. Provides information and assistance to patients to ensure they understand the Financial Assistance policy and application process. Provides Financial Assistance applications to all uninsured patients. Screens ordered tests and communicate to physician and/or ABN Specialist those tests and/or diagnoses that do not meet criteria to be covered by Medicare
Assures that the correct pre-registration visit encounter type is linked to the scheduled appointment. Creates a request for authorization of service if applicable. Send orders for diagnostic tests to appropriate department. Assures that documentation indicating the date of service and the visit number accompanies the orders for diagnostic testing.

Customer Service

Ensure a high level of customer service by greeting, being a resource to patients and visitors. Serve as a liaison between patients and support staff. Develop effective relationships with colleagues, physicians, providers, leaders and other employees across the organization. Demonstrates genuine interest in helping our patients, providers and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure.
Managing multiple, changing priorities in an effective and organized manner, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action. Effectively communicates with service delivery and other departments to resolve issues that impact patient care and escalating issues that cannot be resolved in accordance with departmental guidelines.

Quality Assurance

Maintains appropriate level of productivity and accuracy for work performed based on department standards. Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully performance duties on a day-to-day basis.

Your qualifications should include:

High School or equivalent.
Two years related experience registering and scheduling complex patient appointments in a clinic or hospital setting.
Medical terminology experience required.
Preferably: Two years front desk oncology practice experience. EPIC electronic medical record experience preferred.

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.

Apply Now

Refine Your Search

prior authorization specialist jobs in irvine ca

Patient Access Representative III - OC Per Diem

Patient Access Liaison - Long Beach, CA

Patient Access Representative I - OC - Part Time

Member Services Specialist (Bilingual - Chinese)

Dental Front Office/Billing

Member Services Specialist (Bilingual - Spanish)

Authorization Specialist

Patient Access Representative I - OC

Reimbursement Specialist

Prior Authorization Specialist

Scheduling Specialist

Reimbursement Specialist, Appeals

Intake Specialist

Biller IV - HB Patient Financial Services - FT Days

Release of Information Specialist - MON - FRI 8:00AM - 4:30 PM

Medical Billing Specialist

Billing and Credentialing Specialist

Admissions Specialist

Front Desk Receptionist / Billing specialist

Senior IT Systems Engineer I

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