Healthcare Authorization Specialist (UR & Claims)
John Muir Health
John Muir Health is seeking an Authorization Specialist to process and track authorization requests for full risk and shared risk plans, coordinating with Utilization Review to obtain determinations. The role includes researching and contacting providers for retrospective authorizations and assisting providers and patients with questions from provider and member services. Additionally, the specialist maintains statistics and reports on authorization activity, supporting efficient claims #J-18808-Ljbffr John Muir Health
$27.03 - $36.5 per hour
...Authorization Request Processor Performs daily operational functions to effectively process... ...and tracks requests to Utilization Review (UR) and processes determination upon return.... ...are not properly authorized at the time of claim receipt. Assists providers and patients...ClaimsHourly payDaily paidWork at officeLocal areaShift work$28 - $35 per hour
...Claims Resolution SpecialistThe Claims Resolution Specialist is responsible for the day-to-day investigation and resolution... ...a multi-site, multi-specialty healthcare organization specializing in... ...correspondence, medical records, authorizations, and supporting documentation...ClaimsRemote work$27.03 - $36.5 per hour
...functions to effectively process authorization requests for full risk and... ...to Utilization Review (UR) and processes determination... ...properly authorized at the time of claim receipt. Assists providers and... ...the expertise of top cancer specialists from John Muir Health and UCSF...ClaimsHourly payDaily paidWork at officeLocal areaShift work- Avenue Healthcare is seeking a Reconciliation Officer to ensure accuracy and timely allocation of debtors’ receipts. The ideal candidate... ...Key responsibilities include reconciling remittances, preparing claims documentation, investigating variances, and maintaining relationships...Claims
- SupportFinity™ in Walnut Creek is looking for an HMO/Medi-Cal Biller to assist with claim submissions and authorizations for healthcare services. This role entails keeping accurate records, engaging in follow-ups, and ensuring timely approvals for claims. Candidates must...ClaimsFull time
$30.33 per hour
...wish to influence the quality of mental healthcare in your community? Do you have experience... ...training The Monitoring Investigations Specialist reports to the Program Director and is... ...and facility protocols to substantiate claims Draws conclusions based on the available...ClaimsHourly payFull timeRelocationMonday to FridayFlexible hoursShift work$130k - $190k
...challenges. Why join us? Benefits include: PPO Healthcare, vision, dental, life insurance, and... ...Law, Anti-Kickback Statute, False Claims Act, and state analogs, as well as licensing... ...to perform background checks with your authorization. Jobot will consider qualified...ClaimsFor contractorsLocal area$72k - $141k
...Liability portfolio across a diverse range of healthcare segments, including Dentists, Nurses,... ...monitors profitability/reserving and claim trends for Healthcare Pricing and shares... ...business decisions effectively within scope of authority. Ability to creatively and effectively...ClaimsWork experience placementRemote work1 day per week- ...over 40 years in the industry. The AR Specialist drives the resolution of insurance... ...including monitoring and working assigned claim and AR worklists. Identify and resolve... ...reimbursement terms. Stay current on healthcare regulations, state-specific rules, and insurance...ClaimsContract workWork at office
- ...orders Branch cash ordering and shipping (as applicable) Branch Certifications (as assigned) Stop payments Holds Reg. E Claims Safe Deposit Box opening, closing and servicing (as assigned) -Demonstrated proficiency and understanding of all compliance...ClaimsWork experience placementWork at office
$117.5k - $222.99k
Individual(s) must be legally authorized to work in the United States without the need for... ...and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for... ...knowledge of payer operations, healthcare data, claims analytics, and health plan workflows,...ClaimsFull timeWork experience placementRemote workFlexible hours$78.8k - $145.13k
Individual(s) must be legally authorized to work in the United States without the need for... ...and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for... ...exposure to EHR systems, clinical data, and claims dataStrong communication skills (written...ClaimsFull timeWork experience placementRemote workFlexible hours- ...Medical is seeking a DME Medical Billing Specialist to join our team. You will be... ...equipment services, ensuring accurate coding, claim submission, and follow-up to maximize reimbursement... ...verify insurance coverage, manage pre-authorizations, resolve denials, communicate with...Claims
$117.5k - $222.99k
Individual(s) must be legally authorized to work in the United States... ...retirement funding and healthcare financing, risk management and... ...actuaries to clinicians, technology specialists to plan administrators, we... ...organizations, healthcare claims, clinical and pharmacy data,...ClaimsHourly payFull timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours$165k - $195k
...mission to be the #1 automation company for healthcare administration. A successful candidate... .... Hands-on experience with core claims administration platforms. Demonstrated... ...HubSpot, Jira, or similar tooling. Work authorization in the United States. Work Environment...ClaimsContract workWork at officeWork from home$75k - $165k
Zurich is seeking an experienced Underwriting Specialist or Executive Underwriter, Construction PL to join our Specialties Construction team... ...Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$52.6k - $86.8k
...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for... ...sound judgement and make effective decisions within established authority. Exceptional customer service skills and commitment to...ClaimsWork experience placementInternshipWork at office$97k - $189k
...resolution of the most complex and catastrophic workers' compensation claims. This individual contributor role provides company-wide... ...litigated workers' compensation claims. Serves as the technical authority on claim coverage, liability, compensability, exposure evaluation...ClaimsWork experience placementWork at office$18 - $19 per hour
...and sanitation procedures. No certifications are required; GED or high school diploma preferred, with at least 1 year of experience. This healthcare role offers starting pay of $18-$19 per hour and a stable full-time schedule. #J-18808-Ljbffr Shadelands Post Acute inHourly payFull time- ...Medical is looking for a DME Medical Billing Specialist to join our team. You will be... ...DME) services. Ensuring accurate coding, claim submission, and follow-up to maximize reimbursement... ...insurance coverage, managing pre-authorizations, and resolving denials....Claims
$117.45k - $195.75k
...interviews• Maintain quality control (integrity and excellence of completed project)• Support estimating staff (bid item specialist)• Avoid or mitigate claims and conflict• Complete all job close-out procedures• Conduct warranty follow-up (1-year warranty walks)• Complete...ClaimsFull timeContract workTemporary workFor subcontractorFlexible hours$31.01 - $33.17 per hour
...today and take the first step to Destination: Progress. As a claims adjuster trainee, you'll learn how to help customers get back... .... Equal Opportunity Employer Applicants must be authorized to work for any employer in the U.S. without the need or potential...ClaimsTemporary workTraineeshipWork experience placementH1bWork at officeLocal areaMonday to FridayFlexible hours$22.94 per hour
...seeking a highly organized and experienced Healthcare Manager to join our team. As a... ...Verify insurance coverage and process claims- Ensure compliance with healthcare regulations... ...per hour Experience: Healthcare Authorization Rep: 2 years (Required) Medical billing...Hourly payContract workTemporary workWork at officeRelocation- ...seeking an experienced Medical Billing Specialist to join our administrative team. Position... ...is responsible for charge entry, claims submission, payment posting, insurance... ...demographic information, insurance coverage, authorizations, and supporting documentation for...ClaimsFull timeWork at officeMonday to FridayFlexible hoursDay shift
- Reconciliation Officer at Avenue Healthcare Job Objective/purpose Confirmation of actual... ...debtors’ remittances against submitted claims to ensure accuracy, completeness, and proper... ...documentation, including invoices, pre-authorizations, and medical reports, for dispute...Claims
$190k
...required. Admission to the California Bar is required. Lewis Brisbois is a recognized leader in the area of insurance coverage and claims. Our Insurance Coverage Practice focuses on interpreting contracts of all kinds and representing insurers in complex coverage...ClaimsWork at office$89k - $96k
...the practice management system to ensure timely and compliant claim submission. This role supports a multi-specialty environment with... ...environment to help you grow and succeed Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced...ClaimsRemote work$70k - $100k
...Update skills and knowledge by attending conferences and seminars. Show and explain orthopedic and prosthetic appliances to healthcare workers. Maintenance of inventory of material in main and any satellite locations. Requirements: Must be currently licensed...Full timeImmediate start$30 per hour
...clients in a range of industries such as Healthcare, Education, Finance and more. Join a... ...exclusive shift-pickup platform to view and claim open shifts based on your availability -... ...carrying forbidden articles Permit authorized persons to enter property and monitors entrances...ClaimsLocal areaFlexible hoursShift work- ...A leading insurance claims company in California is seeking Independent Insurance Claims Adjusters. This position offers an opportunity to help individuals recover from disasters while enjoying flexibility, autonomy, and competitive compensation. Comprehensive training...ClaimsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Authorization Specialist (UR & Claims). Be the first to apply!
- treasury specialist Walnut Creek, CA
- wellness specialist Walnut Creek, CA
- helpdesk specialist Walnut Creek, CA
- program eligibility specialist Walnut Creek, CA
- international relations specialist Walnut Creek, CA
- accessibility specialist Walnut Creek, CA
- remote outreach specialist Walnut Creek, CA
- veteran specialist Walnut Creek, CA
- word processing specialist Walnut Creek, CA
- mental health specialist Walnut Creek, CA



