Top 9 Prior authorization specialist Jobs in Woodland, Ca

Access Representative I
CommuniCare+OLE —Woodland, CA
- $24.21 - $29.59 an hour
- Full-time
- Spanish
- CPR Certification
- BLS Certification
- 403(b) matching
- Health savings account
Quick Apply
7d
Access Representative I, Per Diem
CommuniCare+OLE —Woodland, CA
- $24.21 - $29.59 an hour
- Per diem
- Spanish
- CPR Certification
- BLS Certification
- Health insurance
Quick Apply
Home Infusion Intake Specialist
UC Davis Health —Sacramento, CA
- $30.65 - $38.10 an hour
- 8 hour shift
- Background check
- Customer service
- Writing skills
- Continuing education credits
- Paid holidays
2d
Eligibility and Authorization Specialist
Retina Sacramento MSO LLC —Sacramento, CA
- $19.60 - $25.00 an hour
- Full-time
- Writing skills
- Communication skills
- Entry level
- Paid holidays
- Health insurance
2d
Referral Coordinator
SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC —Sacramento, CA
- $22 - $24 an hour
- Computer literacy
- Writing skills
- HIPAA
Quick Apply
2d
Medical Referral / Scheduling Coordinator
Sacramento Heart & Vascular Medical Associates —Sacramento, CA
- $20 - $24 an hour
- Overtime
- HIPAA
- Office
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
2d
Pharmacy Technician 3
UC Davis Health —Sacramento, CA
- $37.84 - $47.13 an hour
- 8 hour shift
- Background check
- Microsoft Outlook
- Word processing
- Continuing education credits
- Paid holidays
2d

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Transfer & Referral Specialist II
Sutter Health —Sacramento, CA
Bachelor's in Business and/or Healthcare Administration, or related field. Ability to define issues, collect data, establish facts and draw valid conclusions.
$28.00 - $52.56 an hour
4d
Insurance Verification Specialist
Shriners Hospitals for Children —Sacramento, CA
Review information for admission including type and duration of service, authorization and treatment codes. Responsible for checking insurance eligibility.
$29.16 - $41.16 an hour
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4d

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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
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BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
CPR certification (based on position and as determined by manager). Obtains insurance prior authorization as needed and documents the verification of benefits…

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Access Representative I

CommuniCare+OLE -
Woodland, CA

Quick Apply

Job Details

Full-time
$24.21 - $29.59 an hour
7 days ago

Benefits

403(b) matching
Health savings account
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
403(b)

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

POSITION TITLE:

Access Representative I

DEPARTMENT:

Patient Access

REPORTS TO TITLE:

Access Supervisor

DLSE/FLSA STATUS: ()

____Exempt/Salaried position

_X__Nonexempt/Hourly position

SUPERVISORY RESPONSIBILITIES (does this position have direct reports):

YES

LOCATION: Woodland, CA

SCHEDULE: Full Time: Monday- Friday 8am- 5pm with some evening shifts until 9pm

PAY RANGE: $24.21 hourly to $29.59 hourly

About CommuniCare+OLE

Established in 2023, CommuniCare+OLE is the result of a union of two health centers with deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare+OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.

BENEFITS:

Medical, Dental, Vision Coverage
- Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
18 days of PTO (Vacation & Sick)
10 Paid Holidays + 1 Float Holiday
2% employer match with employee 4% Contribution 403(b) retirement planTuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
Life & Accidental Insurance Coverage
Employer contribution for Health Savings Account
Flexible Spending Account (FSA) and Limited FSA Options

JOB SUMMARY/OVERVIEW:

The Access Representative I works under the Access Supervisor with a team of administrative, clinical and program staff members to perform a variety of patient services responsibilities. The Access Representative I is responsible for greeting patients in person or on the phone and driving a positive patient customer service experience. The Access Representative will maintain a safe and clean reception area by complying with procedures, rules, and regulations and will also be responsible for maintaining continuity among work teams by documenting and communicating actions, irregularities, and continuing needs.

CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience.

CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples,

people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of

all ages and religions, and individuals who have been affected by the legal system.

YOU ARE WELCOME HERE.

***The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason. ***

MINIMUM POSITION REQUIREMENTS: EDUCATION, EXPERIENCE, SKILLS/TRAINING

Education:

High School Diploma or General Education Degree required.

Experience/Lived Experience:

Entry level position; one year of experience in a healthcare setting preferred.

Special Skills/Training:

Bilingual strongly preferred English/Spanish/Russian/Dari/Punjabi/ Vietnamese).
Must certify and remain current in CPR certification.
Strong analytical and problem-solving skills and attention to detail required.
Data entry skills, Microsoft Office, and Electronic Health Record system preferred.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Demonstrates exceptional customer service skills including greeting patients in a kind, compassionate and courteous manner; responds effectively to patient questions; manages multiple priorities and heavy patient workloads with patience and confidence.

Accurately inputs patients data in full on their records before saving onto EMR system

Makes use of designated script and protocol to screen patients for insurance eligibility; refer all self pay patients to Eligibility Specialist prior to scheduling a follow-up visit; place calls to patients prior to appointment in order to confirm eligibility.

Answer all telephone calls in a timely, efficient, and courteous manner leading to high patient satisfaction; takes accurate and comprehensive encounters at all times using the designated message form.

Schedules patient appointments with providers and provides accurate information to patients regarding a wide variety of programs and services; pre-registers all patients; places reminder calls to patients to confirm appointments.

Accurately charges patients without funding sources according to the CommuniCare+OLE sliding scale; Collects cash and credit payments from patients; assures that all monies are counted and balanced with receipts at the end of the designated shift.

Enforces patient privacy and confidentiality guidelines with all clients; ensures that all protected health information is out of view of other patients at all times, and is secure when work shift has ended; Ensures that all protected health information is disposed of in the proper manner when required.

Carries tablet to greet and direct patients at entrance when appropriate.

Completes the check in process and registers patients for their appointments.

10.

Provides assistance during training of the new staff.

11.

Schedule appointments as needed, according to policies and guidelines

12.

Capture patient demographic information, insurance information, structured data into Electronic Health Records with each patient encounter, scan all forms into Electronic Health Records as applicable and appropriately change check in status

13.

Verify insurance eligibility through proper insurance variation systems and updating payor codes

14.

Ensure required forms are completed and signed; provide assistance to patients in completion of applicable forms

15.

Collect and post co pays, payments, existing balances, and provide necessary receipts

16.

Reconcile monies with day sheet detail report and ensures safe keeping of all cash, checks and credit cards transactions received

17.

Prompt follow up of telephone encounters/recalls/appointment request

18.

Open incoming mail and process or direct as appropriate.

19.

Keep log of all patients given Presumptive Eligibility and submit to State on a weekly basis (Perinatal Services only)

20.

Follow managed care procedures, as applicable to obtain authorization for services in order to ensure payment and reduce denials.

21.

Attends routine department meetings, in service trainings, and other meetings as required to maintain professional growth and comply with the organization policy

22.

Verify accuracy of information, obtain necessary consents, and documentation on all patients upon registration and scheduling.

23.

Responsible for greeting patients professionally on the phone or in person and driving a positive and personal patient/customer service experience.

24.

All other duties as assigned.

Quick Apply

Refine Your Search

prior authorization specialist jobs in woodland, ca

Access Representative I

Access Representative I, Per Diem

Home Infusion Intake Specialist

Eligibility and Authorization Specialist

Referral Coordinator

Medical Referral / Scheduling Coordinator

Pharmacy Technician 3

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