Top 34 Prior authorization specialist Jobs in Los Angeles Ca

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
Payment Processing Specialist
Skilled Wound Care —Los Angeles, CA
- $21 - $26 an hour
- Microsoft Excel
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Authorization Specialist
KabaFusion —Cerritos, CA
- $28 - $32 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid holidays
- Disability insurance
Quick Apply
1d
Prior Authorization Specialist
Infusion4Health Inc —Brea, CA
- $22 - $27 an hour
- Full-time
- Microsoft Word
- Mid-level
- Office
Quick Apply
Utilization Review Coordinator
Prosperous Health —Los Angeles, CA
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
9d
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
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
Release of Information Specialist
Vital Holdings LLC —Los Angeles, CA
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
Intake Specialist
SpecialtyCare Rx —Diamond Bar, CA
- $30 - $35 an hour
- Full-time
- Management
- Mid-level
- Office
Quick Apply
Workers’ Compensation Administrative Coordinator
Southern California University —Whittier, CA
- $25 - $27 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
9d
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
Medical Assistant/ Insurance verifier , authorization specialist
Apex Practice Management Group —Northridge, CA
- $22 an hour
- Full-time
- Spanish
- Internal Medicine
- HIPAA
Quick Apply
Advanced Therapies Benefits Specialist
Shields Advanced Therapies —Los Angeles, CA
- $65,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
Quick Apply
14d
Medical Records Specialist
Gardena Physical Therapy Inc. —Gardena, CA
- $19 - $24 an hour
- Part-time
- Medical office experience
- HIPAA
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
Revenue Cycle Super User
Tarzana Treatment Centers, Inc —Los Angeles, CA
- $27.77 - $31.36 an hour
- 8 hour shift
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Financial Care Specialist
HRC Fertility Management —Los Angeles, CA
- $23 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
Quick Apply
9d
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Culver City, CA
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance
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
Patient Operations Specialist
Harbor Community Clinic —San Pedro, CA
- $24 - $27 an hour
- Overtime
- Background check
- Spanish
- BLS Certification
Quick Apply
Medical History Specialist
Pediatric Associates —San Pedro, CA
- Full-time
- Computer literacy
- Medical office experience
- High school diploma or GED

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Lead Billing Collections Specialist (South Pasadena)

Hillsides -
South Pasadena, CA

Quick Apply

Job Details

Full-time
$29 - $33 an hour

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
401(k) 4% Match
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Professional development assistance
Loan forgiveness
Opportunities for advancement
Life insurance
Referral program
Retirement plan
Paid sick time

Qualifications

Customer communication
High school diploma or GED
Electronic health record (EHR) management for billing and coding
Medical billing
Medical claims submission

Full Job Description

Who We Are:

We are a premier provider dedicated to healing children and young adults, strengthening families, and transforming communities through quality, comprehensive services and advocacy. We envision a world in which children and young adults, families, and communities are able to heal, grow, and thrive.

Job Type: Full-Time, Non-exempt Opportunity

Starting Salary Range: $29.00 - $33.00 per hour (based on experience)

What We Offer:

An outstanding benefits package and numerous opportunities for career growth and advancement within our organization!

13 Paid Holidays per year including Juneteenth
Earn up to 16 days of paid vacation time, plus 50 hours of paid sick leave annually.
401(k) with no wait period and no vesting schedule
401(k) matching up to 4%
Medical insurance offering 3 HMO with Kaiser and Health Net, and also a PPO Plan
The Difference Card- Employer-funded benefit that works alongside an employee's health insurance plan to help offset out-of-pocket costs like copays, deductibles, and coinsurance.
Dental insurance both HMO & PPO options, with 100% employer paid for HMO employee only coverage plan
Vision insurance offers 100% employer-paid vision plan through EyeMed for you and your entire family
Life and AD&D insurance 100% employer paid up to two times the annual salary
Long Term Disability
Flexible Spending Account for Medical and Dependent Care
Employee Assistance Program
This role is eligible for Public Service Loan Forgiveness (PSLF)

ESSENTIAL FUNCTIONS:

The Lead Billing Collection Specialist is responsible for ensuring accurate, timely, and compliant submission of mental and behavioral health claims to the Los Angeles County Department of Mental Health (DMH), Medi-Cal, and third-party payers. This role serves as a subject matter expert in mental and behavioral health billing, supporting revenue integrity through claim review, denial management, reporting, and collaboration with clinical and quality teams. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

The essential functions include:

Manage all aspects of billing and collections for multiple insurance payers, ensuring precise charge entry and prompt claim submission
Maintain solid understanding of mental and behavioral health billing, DMH systems, and third-party requirements
Maintain a current understanding of CPT, ICD-10, HCPCS codes, DMH guidelines, and billing rules specific to each payer
Review, verify, and confirm the accuracy and completeness of billing records prior to claim submission, ensuring prior authorizations and concurrent reviews
Identify, track, and resolve denied, voided, and unpaid claims through follow-up and appeals
Review, prepare, and submit higher-level appeals with supporting documents
Analyze denial trends and notify leadership of systemic issues or payer patterns
Monitor clearinghouse rejections and billing errors, implement corrective actions to prevent recurrence
Support reduction of outstanding accounts receivable (A/R) and ensure accurate payment postings
Perform data tracking and reconciliation across DMH/IBHIS, Welligent, and related systems
Serve as a subject-matter resource for billing questions, complex cases, and workflow improvements
Train, mentor, and onboard new team members
Exhibit strong critical thinking, effective problem-solving abilities, and attention to detail.
Exceptional customer service with strong verbal and written communication skills
Ability to manage multiple priorities, meet deadlines, and work independently
Other duties as required

EDUCATION, EXPERIENCE and CERTIFICATES

3 to 5+ years' experience in Medical Billing
2+ years of experience in behavioral/mental health billing strongly preferred
Experience supervising or leading a billing team preferred
High School Diploma or equivalent required
Prior experience with Welligent or similar EHR systems preferred

TRAUMA INFORMED CARE (TIC)

Hillsides practices Trauma Informed Care (TIC) principles which recognizes the signs, symptoms, and widespread impact of trauma; Employees are asked to comprehensively integrate knowledge of Trauma Informed Care into policies, procedures, and practices with the goal to prevent re-traumatization which promotes healing of families, youth, individuals, and communities.

Hillsides is an Equal Opportunity Employer

We welcome applicants from all backgrounds and do not discriminate based on any legally protected characteristic, including race, color, religion, sex, gender identity or expression, sexual orientation, national origin, ancestry, disability, medical condition, age, veteran or military status, or marital status, in accordance with applicable federal, state, and local laws. We are committed to providing reasonable accommodation(s) for individuals with disabilities throughout the application and employment process.

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Professional development assistance
Referral program
Retirement plan
Vision insurance

Education:

High school or equivalent (Required)

Experience:

behavioral/mental health billing: 2 years (Preferred)
medical billing/EHR systems: 3 years (Required)

Work Location: Hybrid remote in South Pasadena, CA 91030

Quick Apply

Refine Your Search

prior authorization specialist jobs in los angeles ca

Lead Billing Collections Specialist (South Pasadena)

Payment Processing Specialist

Authorization Specialist

Prior Authorization Specialist

Utilization Review Coordinator

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

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

Release of Information Specialist

Intake Specialist

Workers’ Compensation Administrative Coordinator

Authorization Monitoring and Tracking Specialist

Medical Assistant/ Insurance verifier , authorization specialist

Advanced Therapies Benefits Specialist

Medical Records Specialist

Revenue Cycle Super User

Financial Care Specialist

Epic Ambulatory Bones Application Engineer Specialist - 6079188

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

Patient Operations Specialist

Medical History Specialist

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