Top 41 Prior authorization Jobs in Santa Paula, Ca

Medical Billing/ Insurance Specialist- Cardiology Office
Cardiovascular Care Center —Simi Valley, CA
- $25 - $35 an hour
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
2d
Medical Front Desk (Patient Services Specialist)-Ventura Office
CRO Services LLC —Ventura, CA
- $25 - $28 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Medical Scribe and Assistant
Coastal Orthopedic & Spine Institute —Camarillo, CA
- $20 - $28 an hour
- Part-time
- Spanish
- Anatomy knowledge
- Medical office experience
- Health insurance
- Paid time off
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Patient Intake Specialist
Unicare Health —Thousand Oaks, CA
- 8 hour shift
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
8d
Patient Care Coordinator
CLAVA Health —Thousand Oaks, CA
- $25 - $35 an hour
- Full-time
- HIPAA
- Communication skills
- Entry level
- Paid training
- Paid time off
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Authorization Coordinator
Alliance Health Services, Inc. —Oxnard, CA
- From $21 an hour
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
- Health insurance
- Dental insurance
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Insurance Eligibility Coordinator
Alliance Health Services, Inc. —Oxnard, CA
- $21 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- 401(k)
Quick Apply
13d
MEDICAL RECEPTIONIST
BASS MEDICAL GROUP —Ventura, CA
- Full-time
- Computer literacy
- Data entry
- Communication skills
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Surgical Scheduler
Ventura County Vascular Specialists —Oxnard, CA
- $28 - $32 an hour
- Full-time
- Surgery
- Medical office experience
- HIPAA
- Profit sharing
- Paid holidays
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13d
Patient Service Associate - PSA (Oxnard)
Hernandez Medical Group - HMG —Oxnard, CA
- $22 - $25 an hour
- Full-time
- CPR Certification
- Microsoft Outlook
- Writing skills
- AD&D insurance
- Health insurance
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Medical Assistant I
Rancho Health MSO, Inc —Ventura, CA
- $23 - $25 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
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Medical Assistant I
Rancho Health MSO, Inc —Oxnard, CA
- $23 - $25 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
Quick Apply
9d
Medical Administrative Intake Lead
Maxi-Med, Supply Inc. —Simi Valley, CA
- From $20 an hour
- Part-time
- Bilingual
- Medical office experience
- English
- Paid time off
- Paid sick time
Quick Apply
Provider Patient Concierge Rep
RadNet San Fernando Valley —Thousand Oaks, CA
- $23 - $27 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Up to 50% travel
- Mid-level
- Health savings account
- Health insurance
Patient Navigator
Healogics —Camarillo, CA
- $19.69 - $24.20 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Surgery
Quick Apply
3d
Diagnostic Imaging Support Clerk III
Community Memorial Healthcare —Ventura, CA
- $22.31 - $28.87 an hour
- 8 hour shift
- Spanish
- Microsoft Outlook
- Hospital
- Dental insurance
- Tuition reimbursement
Medical Assistant (Full Time)
Schweiger —Camarillo, CA
- $21 - $26 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- Disability insurance
Quick Apply
Front Desk Administrative Assistant
Neuro Wellness Spa —Westlake Village, CA
- $22 - $25 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
6d
Registered Nurse - Home Health
Livingston Memorial VNA —Ventura, CA
- $100,713 - $114,004 a year
- Weekends as needed
- Spanish
- RN License
- BLS Certification
- Paid training
- Mileage reimbursement
Quick Apply
7d
MA
HMG Health Care Inc —Oxnard, CA
- Full-time
- Spanish
- Vital signs
- English
- Health insurance
- 401(k)
Quick Apply

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prior authorization jobs near santa paula, ca

Medical Billing/ Insurance Specialist- Cardiology Office

Cardiovascular Care Center
Simi Valley, CA

Quick Apply

Job Details

Full-time
$25 - $35 an hour
2 days ago

Benefits

Health insurance
Paid time off
Employee discount

Qualifications

Customer communication
Medical office experience
High school diploma or GED
Attention to detail
Patient interaction
Medical Billing & Coding
Associate's degree

Full Job Description

** ONLY experienced medical insurance specialist apply

Job Type: Full-time
Location: Simi Valley, CA

About the Position

Join an established, patient-centered cardiology practice where your work will make a direct difference in patients’ ability to access timely cardiovascular care. We are seeking an experienced, highly organized Insurance Specialist to serve as a key liaison among patients, insurance plans, and our clinical and administrative teams.

This is an important role for someone who understands the urgency, complexity, and detail required in benefits verification, eligibility, prior authorizations, billing, and denial resolution. The ideal candidate is proactive, persistent, accurate, and comfortable managing multiple payer requirements while maintaining professional and compassionate communication with patients.

Responsibilities

Benefits and Eligibility

Verify active insurance coverage, eligibility, benefits, network status, referral requirements, and patient financial responsibility before scheduled visits, diagnostic testing, procedures, and services.
Review benefits for copays, deductibles, coinsurance, out-of-pocket requirements, and coverage limitations.
Identify insurance discrepancies or coverage concerns promptly and communicate necessary information to patients and the practice team.
Maintain accurate patient insurance information in the electronic health record and practice management system.

Prior Authorizations and Referrals

Initiate, submit, track, and follow up on prior authorization requests for cardiology office visits, diagnostic testing, imaging, procedures, and prescribed medications.
Communicate with insurance plans, utilization-management departments, patients, providers, and external facilities regarding authorization requirements and status.
Track authorization numbers, approval dates, expiration dates, denials, and required follow-up to prevent delays in patient care.
Prepare and submit supporting clinical documentation for authorization requests under provider direction.
Identify denied or pending requests promptly and coordinate next steps, including requests for additional information, appeals, and peer-to-peer reviews as directed by the provider.

Billing and Claim Follow-Up

Assist with medical billing workflows, including claim review, charge capture support, payment posting coordination, and account follow-up.
Review claim denials, rejections, and underpayments; identify root causes and take appropriate action for correction, resubmission, appeal, or follow-up.
Communicate with insurance carriers to resolve payer issues, claim-status questions, and billing discrepancies.
Work collaboratively with the billing team to improve clean-claim submission and reduce preventable denials.
Maintain accurate documentation of insurance communications, authorization activity, billing follow-up, and claim-resolution efforts.

Qualifications

High school diploma or equivalent required; associate degree, medical billing certification, or related training preferred.
Minimum [2] years of recent experience in a medical office insurance, billing, authorization, benefits, eligibility, or revenue-cycle role required.
Demonstrated experience verifying insurance eligibility and benefits, obtaining prior authorizations, and resolving insurance-related issues.
Experience with medical billing, claim denials, appeals, payment posting, and accounts receivable follow-up preferred.
Knowledge of commercial insurance, Medicare, Medicare Advantage, managed-care plans, and payer portal systems preferred.
Proficiency with electronic health records, practice management systems, insurance websites, and Microsoft Office.
Excellent attention to detail, organization, problem-solving, follow-through, and written and verbal communication skills.
Ability to prioritize competing tasks, meet deadlines, and work effectively in a fast-paced team environment.

Benefits

[Paid time off]
[Other benefits]

To Apply: Please submit your resume and a brief cover letter highlighting your experience with insurance benefits, eligibility verification, prior authorizations, billing, claim follow-up, and denial resolution.

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Benefits:

Employee discount
Health insurance
Paid time off

Experience:

Medical Assisting: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in santa paula, ca

Medical Billing/ Insurance Specialist- Cardiology Office

Medical Front Desk (Patient Services Specialist)-Ventura Office

Medical Scribe and Assistant

Patient Intake Specialist

Patient Care Coordinator

Authorization Coordinator

Insurance Eligibility Coordinator

MEDICAL RECEPTIONIST

Surgical Scheduler

Patient Service Associate - PSA (Oxnard)

Medical Assistant I

Medical Assistant I

Medical Administrative Intake Lead

Provider Patient Concierge Rep

Patient Navigator

Diagnostic Imaging Support Clerk III

Medical Assistant (Full Time)

Front Desk Administrative Assistant

Registered Nurse - Home Health

MA

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