Top 163 Patient services representative Jobs in Moreno Valley Ca

Pharmacy Prior Authorization Specialist
Infusion For Health —Riverside, CA
- $22 - $30 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Front Office Dental Receptionist
golden smiles dental —Rancho Cucamonga, CA
- $20 - $21 an hour
- Full-time
- Bilingual
- Spanish
- Dental office
- Health insurance
- 401(k)
Quick Apply
4h
Front Office Coordinator – Find Your Dental Home
Confidential —Yucaipa, CA
- From $23 an hour
- Full-time
- Private practice
- Dental office
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
4d
Russian-English Bilingual Healthcare Customer Service Representative - Remote in California
TTEC —California
- $21.65 an hour
- Full-time
- Remote
- English
- Research
- Windows
- Wellness program
- Tuition reimbursement
5h
Registrar
Riverside Community Hospital —Riverside, CA
- $25.14 - $29.60 an hour
- Weekends only
- Critical & Intensive Care
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
19h
Patient Registration Rep
Community Hospital San Bernardino —San Bernardino, CA
- $25.00 - $31.40 an hour
- Seasonal
- Acute care
- Adults
- High school diploma or GED
6d
Call Center Representative
University of California, Riverside —Riverside, CA
- $25.38 - $35.97 an hour
- Overtime
- Mid-level
- US work authorization
- Medical terminology
13d
Patient Services Coordinator
University of California, Riverside —Riverside, CA
- $25.38 - $35.97 an hour
- Overtime
- Mid-level
- US work authorization
- 2 years
13d
Patient Service Representative III
University of California, Riverside —Riverside, CA
- $61,282.80 - $87,821.28 a year
- Overtime
- HIPAA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Patient Care Coordinator
Lorian Health —Riverside, CA
- $21 - $30 an hour
- Full-time
- Microsoft Excel
- Management
- Surgery
- Mileage reimbursement
- Fuel card
Quick Apply
OR Scheduling Secretary
AHMC Healthcare —Riverside, CA
- From $23 an hour
- Computer literacy
- BLS Certification
- High school diploma or GED
4d
Front Office Admin - Patient Service Representative I
Unicare Community Health Center —Colton, CA
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
Patient Services Specialist
SimonMed Imaging —Riverside, CA
- $21 an hour
- No weekends
- Background check
- High school diploma or GED
- Communication skills
- Paid holidays
- Health insurance
Patient Service Rep
Loma Linda University Health —San Bernardino, CA
- $25.00 - $26.37 an hour
- Full-time
- Microsoft Outlook
- High school diploma or GED
- Driver's License
4d
Intake Coordinator - Evenings & Weekends
A&G Infusion Nursing Services Inc —Moreno Valley, CA
- $21 - $23 an hour
- Part-time
- Computer literacy
- Office
- Administrative experience
Quick Apply
14d
Medi-Cal Eligibility Resolution Specialist - Inland Empire
Libertana —Riverside, CA
- $27 - $30 an hour
- Full-time
- Mid-level
- Analysis skills
- Communication skills
Quick Apply
ADMISSIONS REP/REGISTRAR PART TIME/DAYS
Corona Regional Medical Center —Corona, CA
- $23.00 - $34.32 an hour
- Part-time
- Acute care
- Hospital
- Computer skills
- Continuing education credits
- Health insurance
5d
Medical Clerk
VITAS Healthcare —Riverside, CA
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Eligibility Specialist
Community Health Systems, Inc. —Riverside, CA
- $23.00 - $29.39 an hour
- Full-time
- Customer service
- Writing skills
- High school diploma or GED
10d
Referrals - Referral Coordinator
Unicare Community Health Center —Moreno Valley, CA
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Urgent Care
- English

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Pharmacy Prior Authorization Specialist

Infusion For Health -
Riverside, CA

Quick Apply

Job Details

Full-time
$22 - $30 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Word
Microsoft Excel
Insurance prior authorization
Overseeing health insurance pre-certification
Medicare
Insurance verification
Managed care
Managed care organization experience
Pharmacy Technician License
IV infusion
Medicaid health insurance
Medicare regulations
Medicaid regulations
Medicaid
Healthcare reimbursement methods

Full Job Description

Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.

The Prior Authorization Pharmacy Technician plays a critical role in securing timely insurance approvals for specialty and infusion medications. This position ensures that all required documentation is obtained and submitted to payers to facilitate patient access to therapy. The ideal candidate will have experience working in a specialty or infusion pharmacy and a strong understanding of insurance verification and the prior authorization process for high-cost medications.

Key Responsibilities

Demonstrated experience with prior authorizations (PAs), insurance verification, and medication access workflows
Proficient in using electronic health records (EHRs), pharmacy benefit tools, and prior authorization portals (e.g., CoverMyMeds etc)
Experience collaborating with pharmacists, providers, and insurance companies to resolve access barriers and support patient adherence
Review new infusion referrals and coordinate benefits investigation for commercial and government payers.
Obtain and submit all necessary clinical documentation and forms to insurance companies for prior authorization requests.
Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
Proactively follow up with payers, providers, and internal teams to resolve any delays in the authorization process.
Document all communication and authorization statuses in pharmacy software or CRM systems.
Maintain working knowledge of payer-specific policies for infusion therapies, including Medicare, Medicaid, and commercial plans.

QUALIFICATIONS

At least 2 years of experience in infusion or pharmacy prior authorization is required.
At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
Organizational skills are sufficient to maintain consistently accurate records.
Intermediate level skills in Microsoft Excel , Word, and Microsoft Outlook, and
Certification as a Pharmacy Technician and/or hold an active Pharmacy Technician license.(preferred)

Job Type: Full-time

Pay: $22.00 - $30.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Prior Authorisation in Pharmacy: 3 years (Required)

License/Certification:

Pharmacy Technician License (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

patient services representative jobs in moreno valley ca

Pharmacy Prior Authorization Specialist

Front Office Dental Receptionist

Front Office Coordinator – Find Your Dental Home

Russian-English Bilingual Healthcare Customer Service Representative - Remote in California

Registrar

Patient Registration Rep

Call Center Representative

Patient Services Coordinator

Patient Service Representative III

Patient Care Coordinator

OR Scheduling Secretary

Front Office Admin - Patient Service Representative I

Patient Services Specialist

Patient Service Rep

Intake Coordinator - Evenings & Weekends

Medi-Cal Eligibility Resolution Specialist - Inland Empire

ADMISSIONS REP/REGISTRAR PART TIME/DAYS

Medical Clerk

Eligibility Specialist

Referrals - Referral Coordinator

I want to receive the latest job alert for patient services representative in moreno valley ca

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