Top 25 Prior authorization specialist Jobs in Woodland Hills Ca

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
Medical Biller and Appeal Specialist with 1 year + billing experience
Los Angeles Institute of Foot and Ankle Surgery —Burbank, CA
- $23 - $30 an hour
- 8 hour shift
- Private practice
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Paid time off
Quick Apply
Patient Care Coordinator
CLAVA Health —Thousand Oaks, CA
- $25 - $35 an hour
- Full-time
- HIPAA
- Communication skills
- Entry level
- Paid training
- Paid time off
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
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
Financial Clearance Specialist III - PreArrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $26.00 - $41.28 an hour
- 8 hour shift
- Background check
- Hospital
- Medical office experience
4d
Sr Client Engagement Specialist
Forest Lawn —Glendale, CA
- $27.65 - $32.65 an hour
- Weekends as needed
- Hybrid work
- Microsoft Word
- Spanish
- Computer literacy
10d
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)
USC —Los Angeles, CA
- $26 - $34 an hour
- 8 hour shift
- Background check
- Medical office experience
- HIPAA
Medical Billing Specialist
Beverly Hills Oncology Me —Beverly Hills, CA
- $24 - $30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- Paid holidays
- Disability insurance
Quick Apply
Bilingual Farsi/English Medical Receptionist
Eli Medical Group Inc. —Tarzana, CA
- $21 - $24 an hour
- Full-time
- Clinic
- Older adults
- Organizational skills
- Free parking
- On-the-job training
Quick Apply
4d
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)
Keck Medical Center of USC —Glendale, CA
- $26 - $34 an hour
- 8 hour shift
- Background check
- Hospital
- Medical office experience
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
Mailroom Specialist - Shipping & Receiving
IST Management Services —Los Angeles, CA
- $21 - $23 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
Payor Relations Specialist - Inpatient Rehab
California Rehabilitation Institute —Los Angeles, CA
- $78,000 - $115,000 a year
- Full-time
- LVN
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Advanced Therapies Benefits Specialist (Financial Clearance)
Shields Advanced Therapies —Los Angeles, CA
- $65,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
Quick Apply
Referral Coordinator
Universal Community Health Center —Los Angeles, CA
- Spanish
- Customer service
- Writing skills
Quick Apply
3d
Customer Service Specialist
Air China Limited —El Segundo, CA
- From $23 an hour
- Email
- Office
- Bachelor's degree
- US work authorization
- Paid holidays
- Health insurance
Quick Apply
10d
Referrals Specialist - Bilingual
Counseling4Kids —Glendale, CA
- $24 - $27 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
14d

Discover related jobs

Based on your search for prior authorization specialist jobs.

Pharmacy Technician (Full-Time or Part-Time)
Honeybee Health —Los Angeles, CA
Pay: $22 - $25 per hour based on previous experience. Maintaining a safe and clean pharmacy by complying with procedures, rules, and regulations.
$22 - $25 an hour
Quick Apply
Bilingual Pharmacy Technician
Rx relief —Van Nuys, CA
Provide customer service, answering questions and supporting pharmacists with patient interactions. 401K Retirement savings plans matching with employer…
$24 - $25 an hour
Quick Apply
6d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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.
Quick Apply
5d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
CPR certification (based on position and as determined by manager). Requests initial authorization and meets provider’s referral requirements to ensure that…

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in woodland hills ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near woodland hills ca

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

USC -
Los Angeles, CA

Apply Now

Job Details

Full-time
$25.00 - $39.69 an hour

Qualifications

Fire Safety Certification
Research
High school diploma or GED
Negotiation

Full Job Description

Job ID REQ20175584 Category Clinical Administration

The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment.

The Oncology Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for chemotherapy treatments. The Specialist will be instrumental in obtaining written documentation, tracking, and reporting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical staff and pharmacy to ensure a seamless process to the patients receiving chemotherapy treatments. This position will report to the Supervisor of Clinical Authorizations and will assist in the operation of the Norris Clinical Authorization Center.

Essential Duties:

Actively obtain written clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff
Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD coding
Research payers medical policy requirements for chemotherapy treatment authorizations and understand process for submitting pre-certification/pre- determination requests
Utilize Excel Macro tracking log to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift.
Follow-up on outstanding authorization requests and on medical documentation requests in a timely manner.
Enroll patients in manufacturer patient assistance programs as needed and follow-up regarding enrollment and/or medication reimbursements
Communicate with a medical/clinical/pharmacy staff and patients on authorization status/outcome.
Employ compliance checker for Medicare eligible chemotherapy/infusion treatment authorizations and scan/email ABNS to front area reception for signatures as needed.
Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment
Exhibit sensitivity to the patients at all times concerning privacy and confidentiality while accessing medical records for chemotherapy treatments to process authorizations requests
Scan all authorizations into Keck care under the respective patient accounts and if applicable, forward authorized orders to pharmacy for dispensing
Maintain medical policy coverage binder and keep updated with new policies and forms regarding medications FDA indicated usage and authorization requirements.
Document authorization outcome in all financial systems.

Performs other duties as assigned.

Required Qualifications:

Req High school or equivalent Or equivalent evidence in file.
Req 2 years of experience in a hospital, medical office/doctor’s office or working for a health insurer required.
Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills

Preferred Qualifications:

Pref Specialized/technical training Vocational Nursing Degree.
Pref Oncology experience is preferred
Pref Medical prior authorizations or claims experience in a managed care setting highly preferred
Pref Knowledge of the health insurance industry and claims processing a plus
Pref Licensed Vocational Nurse - LVN (CA DCA)

Required Licenses/Certifications:

Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Job ID REQ20175584 Posted Date 06/02/2026

Apply Now

Refine Your Search

prior authorization specialist jobs in woodland hills ca

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)

Medical Biller and Appeal Specialist with 1 year + billing experience

Patient Care Coordinator

Medical Assistant/ Insurance verifier , authorization specialist

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

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

Sr Client Engagement Specialist

Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)

Medical Billing Specialist

Bilingual Farsi/English Medical Receptionist

Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)

Authorization Monitoring and Tracking Specialist

Mailroom Specialist - Shipping & Receiving

Payor Relations Specialist - Inpatient Rehab

Advanced Therapies Benefits Specialist (Financial Clearance)

Referral Coordinator

Customer Service Specialist

Referrals Specialist - Bilingual

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in woodland hills ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected