Top 16 Prior authorization Jobs in Visalia, Ca

Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)
Adventist Health —Hanford, CA
- $25.00 - $30.01 an hour
- Full-time
- High school diploma or GED
- Experience equivalent to degree accepted
- Associate's degree
Care Connection Associate - Clinic Overhead - Call Center (Part-Time Temp, Day Shift)
Adventist Health —Hanford, CA
- $25.00 - $30.01 an hour
- Part-time
- High school diploma or GED
- Clinic
- Experience equivalent to degree accepted
Patient Care Coordinator - Dermatology
SKIN AND CANCER INSTITUTE —Visalia, CA
- $18 - $20 an hour
- Email
- HIPAA
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Dispensary Clerk
Family HealthCare Network —Visalia, CA
- $21.00 - $28.60 an hour
- Full-time
- Microsoft Word
- High school diploma or GED
- 1 year
- Paid training
Provider Engagement Specialist – Field Remote (Tulare / Kern / Kings, CA)
Alignment Healthcare USA, LLC —Tulare, CA
- $58,531 - $87,797 a year
- Extended hours
- Remote
- Spanish
- Computer literacy
- Bachelor of Science
Quick Apply
Patient Access Representative
Adventist Health —Selma, CA
- $25.00 - $30.91 an hour
- 8 hour shift
- Hospital
- Mid-level
- High school diploma or GED
SRCC Patient Access Specialist
Kaweah Health —Hanford, CA
- $20 - $30 an hour
- 8 hour shift
- Spanish
- Surgery
- Urgent Care
HIM Technician II
Kaweah Health —Visalia, CA
- $20.38 - $30.57 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Hospital
Department Assistant III - EOPS/CARE/CalWORKs (PC)
Kern Community College District —Porterville, CA
- $3,828.74 - $5,409.91 a month
- Online Application
- Word processing
- Basic math
- English
- Health insurance
Pharmacy Tech/Biller
Kaweah Health —Visalia, CA
- $22.48 - $33.72 an hour
- Full-time
- Outpatient experience
- High school diploma or GED
- Cleaning
Quick Apply
REGISTERED NURSE - Cardiac Cath Lab - Per Diem - Days
Sierra View Medical Center —Porterville, CA
- $58.56 an hour
- 8 hour shift
- Nursing
- RN License
- PALS Certification
- Health insurance
Quick Apply
$ REGISTERED NURSE - Interventional/Angio - Full Time - Days
Sierra View Medical Center —Porterville, CA
- $48.80 - $68.31 an hour
- Full-time
- Nursing
- RN License
- PALS Certification
- Health insurance
- Referral program
Quick Apply
13d
Admissions Services Specialist Acute-PRN
United States —United States
- PRN
- Nursing
- Addiction Medicine
- RN License
4d

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Care Connection Associate - Clinic Overhead - Call Center (Part-Time Temp, Day Shift)
Adventist Health —Hanford, CA
Obtains benefit verification and necessary authorizations (referrals, pre-certification) prior to patient arrival for all ambulatory visits, procedures,…
$25.00 - $30.01 an hour

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Central Ohio Primary Care Physicians,Inc —Columbus, OH
Respond to patient phone calls, as appropriate. Assist in patient education with related educational tools, periodicals, flyers, and handouts.
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Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)

Adventist Health -
Hanford, CA

Apply Now

Job Details

Full-time
$25.00 - $30.01 an hour

Qualifications

Collaborate with healthcare professionals
Patient scheduling systems
Patient question and concern management
Overseeing health insurance pre-certification
Medical insurance coverage verification
Patient demographics
Patient advocacy
Medical scheduling
High school diploma or GED
Healthcare referral management
Internal employee customer service
Clinical information systems
Client referral services
Health insurance referral requirements
Faxing
Care coordination
Associate's degree
Marketing
Entry level
Patient family support

Full Job Description

Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are comprised of a 173-bed hospital and many outpatient clinics with primary and specialty care services. Hanford residents are proud of their city's historic charm and family-friendly atmosphere. Within an hour's travel time, Yosemite, Sequoia and Kings Canyon National Parks can be enjoyed.

Job Summary:

Manages incoming and outgoing referrals from Imaging, primary and specialty providers in a timely and professional manner; schedules appointments according to practice policy; maintains positive relations with referral sources; schedules appointments from third party electronic referral systems, fax, email and web requests; and participates in marketing to referring practices. Provides quality customer service & patient financial responsibilities to patients, referring physicians, visitors and internal customers by obtaining insurance authorization and benefit verification for imaging procedures and specialty referrals.

Job Requirements:

Education and Work Experience:

High School Education/GED or equivalent: Preferred
Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions:

Processes inbound and outbound referrals, verifies referrals are correctly ordered according to protocols in the EHR. Obtains benefit verification and necessary authorizations (referrals, pre-certification) prior to patient arrival for all ambulatory visits, procedures, injections and radiology services.
Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Serves as navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. Occasionally assumes advocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Assists patient in problem-solving potential issues related to the healthcare system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance)
Maintains satisfactory productivity rates and ensures the timeliness of referral and scheduling while maintaining work queue goals.
Collaborates effectively with Care Connection Center associates and responds to provider (internal and external) and support staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Apply Now

Refine Your Search

prior authorization jobs in visalia, ca

Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)

Care Connection Associate - Clinic Overhead - Call Center (Part-Time Temp, Day Shift)

Patient Care Coordinator - Dermatology

Dispensary Clerk

Provider Engagement Specialist – Field Remote (Tulare / Kern / Kings, CA)

Patient Access Representative

SRCC Patient Access Specialist

HIM Technician II

Department Assistant III - EOPS/CARE/CalWORKs (PC)

Pharmacy Tech/Biller

REGISTERED NURSE - Cardiac Cath Lab - Per Diem - Days

$ REGISTERED NURSE - Interventional/Angio - Full Time - Days

Admissions Services Specialist Acute-PRN

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