Behavioral Health PA Specialist — Payer & Denials Expert
South Coast Community Services
South Coast Community Services seeks a Behavioral Health Authorizations Specialist to manage the full PA lifecycle across commercial and Medi‑Cal payers, ensuring timely approvals and preventing gaps in care by coordinating with clinical and billing teams. This role requires deep PA knowledge, proficiency with Availity/Navinet/MyEvolve, CPT coding, and strong written/spoken communication to draft appeals and resolve denials. reports to CMDO. #J-18808-Ljbffr South Coast Community Services
- ...POSITION SUMMARY: The Behavioral Health Authorizations Specialist manages the full prior authorization... ..., and applicable Medi-Cal payers. As SCCS grows its... ...and on time, that denials are challenged without delay... ...appointment. Verify that each PA request includes accurate...SuggestedWork at office
$57 - $65 per hour
...for an accommodation or an alternative application process. Behavioral Health Specialist: Part-Time/Evening Hours Professional Lake Forest, CA, US... ...in investigations, patient grievances, and requests from payers. Participates in all aspects of the Behavioral Health Integration...SuggestedHourly payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift$21 - $23 per hour
...Description Make a Real Impact in Behavioral Health! We are currently seeking a Behavioral Specialist to join our outstanding healthcare team! Salary Range: $21 - $23 per hour Available Shifts: AM (7:00a – 3:30p) PM (3:00p – 11:30P) We are seeking Behavioral Specialists...SuggestedHourly payLocal areaShift work- ...minimum of four years of relevant experience or a Bachelor's degree. Responsibilities include data entry, insurance verification, denial management, and compliance with billing regulations. This role requires proficiency in medical billing processes, excellent communication...Suggested
- Camino Health Center is seeking a part-time Behavioral Health Specialist to provide comprehensive behavioral health services to patients of all ages. The role involves working alongside medical teams to provide same-day mental health consultations and psychosocial assessments...SuggestedPart timeAfternoon shift
- ...Referral Specialist Lead Under the direction of the Population Health Manager, the Referral Specialist Lead works as part... ...positive, supportive and caring behavior in all communications to patients... ...across all clients and payers by working with clinical teams...Work at officeFlexible hoursDay shiftAfternoon shift
$18.98 - $24.22 per hour
...great place to work. Year after year, our employees make the difference in helping those with mental health issues. Our team is currently looking for a Behavior Specialist I whether you are just starting your career or a seasoned professional, you’ll be able to find the...Hourly payWork at officeLocal areaFlexible hours$25.22 - $36.57 per hour
...Title: Registration Scheduling Specialist Location: Laguna Hills, CA Department:... ...MemorialCare is a nonprofit integrated health system that includes four leading hospitals... ...expected that the employee demonstrate behavior consistent with our core values: Integrity...Full timeShift workDay shift$21 - $23 per hour
Royale Mission Viejo is seeking a passionate Behavioral Specialist to join our healthcare team. The role involves directly supporting individuals facing mental health and behavioral challenges, ensuring a safe and therapeutic environment. Offering a competitive hourly salary...Hourly payShift work- Fred Finch Youth & Family Services is seeking a Behavior Specialist I to deliver 1:1 behavioral intervention and rehab services to youth and... ...The role includes documentation, collaboration with mental health professionals, and participation in supervision. A trauma-informed...
- A dental healthcare provider in Mission Viejo, California, seeks a Registered Dental Assistant to assist in patient care and ensure a hygienic environment. Responsibilities include aiding the dentist, maintaining a clean office, and providing post-treatment instructions...Work at office
- ...Under the direction of the Population Health Manager, the Referral Specialist works as part of a patient care... ...Provide positive, supportive and caring behavior in all communications to patients,... ...redirection across all clients and payers by working with clinical teams to...Work at officeFlexible hoursDay shiftAfternoon shift
- Providence Health Plan Group is hiring a Physical Therapist in Mission Viejo, CA. This Per-Diem role involves direct patient care, including evaluation and treatment planning based on patient needs. The ideal candidate will have a California Physical Therapist License...Daily paid
- ...psychologist to provide Neurofeedback, Biofeedback, and Cognitive Behavioral Therapy (CBT). The role involves offering comprehensive... ...should possess a license as a therapist and have experience in health psychology, with either a Doctorate or Master's degree acceptable...Full timePart timeFor contractors
$22 - $24 per hour
...matches that benefit students and communities alike. As a Behavior Specialist in a school setting, you will play a crucial role in... ...that threatens the safety of the student or others. Assure the health and safety of all individuals by following established protocols...Hourly payWeekly payFull timeSummer holidayImmediate startRelocation packageMonday to Friday- ...SUMMARY The Accounts Receivable Specialist is responsible for... ...Responsible for recognizing trends for denials and reimbursement issues and... ...resolve claims rejected by payer. Identify billing and coverage... ...Wright Center for Community Health and its affiliated entity The...Work at officeWork from home
$24 - $31.52 per hour
...Providence Health Plan Group is hiring a Patient Services Specialist in Mission Viejo, California. This full-time role involves patient registration, appointment scheduling, and insurance verification in a supportive care team environment. Joining Providence means being...Full time- Providence Health Plan Group is seeking a Patient Services Specialist in Mission Viejo, California. This role involves core front-office functions including patient registration, appointment scheduling, insurance verification, and clerical duties. The ideal candidate will...Work at office
- ...Reimbursement Specialist, Appeals We are looking for an enthusiastic, detail-oriented... ...Appeals role is responsible for managing denials, preparing and submitting appeals with... ...reimbursement, reduce denials, and influence payer behavior. This role combines payor terminology...Full timeTemporary workImmediate start
$40 - $58 per hour
A leading imaging technology company in Aliso Viejo is seeking a Level 3 Digital Radiography/Computed Tomography Technician. The candidate will ensure high-quality inspection services and develop training programs while collaborating with sales and internal teams. A degree...Hourly pay- A diagnostics company in Lake Forest, CA is seeking a detail-oriented Reimbursement Specialist, Appeals to manage denials and prepare appeals for maximizing reimbursement. Candidates should have 4+ years of experience in reimbursement or revenue cycle management, strong...Full time
- A health services provider is looking for a Behavioral Health Specialist to deliver comprehensive behavioral health services to patients of all ages. The role involves crisis intervention, assessments, and collaborating with medical teams. Required qualifications include...
- MemorialCare Health System is looking for a Clinical Dietitian II at Saddleback Memorial Medical Center in California. This role involves assessing and planning the nutritional care of hospitalized patients, providing specialized nutrition care, and ensuring effective...
$315k - $375k
TMS Health Education is seeking a dedicated mental health professional to join our outpatient psychiatry team in Mission Viejo, California. In this role, you will diagnose mental health disorders, create personalized treatment plans, and supervise innovative interventional...- ...seeking a full-time BC/BE Gastroenterologist. The role involves treating various gastrointestinal conditions and ensuring patient health. Candidates must have completed a fellowship in Gastroenterology and be board certified or eligible. The position offers a competitive...Full time
- ...administrator, and working in accordance with approved standardized procedures under the guidance of a physician at Saddleback College Student Health and Wellness Center (SHWC) or Irvine Valley College Student Health Center (SHC), performs comprehensive health and psychological...Work experience placementWork at officeLocal areaWeekend workAfternoon shift
- ...changing lives every day! JOB SUMMARY The Sales and Service Expert (SSE) delivers an outstanding and well-rounded sales and service... ...Fitness product and service offerings, and has a strong focus on behaviors that drive member acquisition and retention. The SSE delivers...Work experience placementWork at officeLocal area
- Collage Home and Community Rehabilitation Partners is seeking experienced Licensed Clinical Social Workers in Mission Viejo, CA. Join a dynamic team focused on patient-centered care and delivering individualized treatment in the community. The role involves assessing and...Relief
- Collage Home and Community Rehabilitation Partners is seeking experienced Licensed Clinical Social Workers in Mission Viejo, CA, to provide patient-centered care. As part of an interdisciplinary team, you will develop individualized treatment plans and work directly with...Relief
- Inspire Health Alliance is seeking experienced Licensed Clinical Social Workers to provide exceptional patient-centered care in Mission Viejo, California. You will work closely with interdisciplinary teams to create tailored treatment plans for patients recovering from...Relief
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Behavioral Health PA Specialist — Payer & Denials Expert. Be the first to apply!
- esports specialist Mission Viejo, CA
- qc specialist Mission Viejo, CA
- mental health specialist Mission Viejo, CA
- continuous improvement specialist Mission Viejo, CA
- helpdesk specialist Mission Viejo, CA
- ehs specialist Mission Viejo, CA
- professional specialist Mission Viejo, CA
- leasing specialist Mission Viejo, CA
- video production specialist Mission Viejo, CA
- recruiting specialist Mission Viejo, CA

