Triwest VA Liaison &Auth Specialist

Job Summary

• Occupation: TriWest/VA Liaison Authorization Specialist

• Specialty: Patient Access / Authorization Services

• Salary: $20.54-$30.81 per hour

• Working Hours: 40 hours/week

• Shifts: Day

• On-Call: No

• Degree Required: High School Diploma

• Position Type : Full Time

• Work Environment: Hospital / Clinic

• Location: 93555, Ridgecrest, California, United States

• Visa Sponsorship: No

Job Description

We're looking for TriWest/VA Liaison Authorization Specialists who are excited to help veterans, military personnel, and their families navigate healthcare services and access the care they need. In this role, you'll coordinate prior authorizations, verify eligibility and benefits, educate patients on TriWest and VA processes, and serve as a valuable resource for government healthcare workflows. We value attention to detail, strong communication, collaboration, and exceptional customer service, and we're excited to welcome teammates who bring these strengths to our team.


Key Responsibilities

• Initiate and obtain prior authorizations for medical services, procedures, and specialty referrals in a timely manner.

• Ensure insurance carrier documentation requirements are met and referral support documentation is maintained within the patient medical record.

• Verify TriWest and VA eligibility and benefits using appropriate portals and tools.

• Educate patients and families regarding TriWest and VA processes, benefits, and required documentation.

• Collaborate with physicians, nurses, and case managers to ensure appropriate documentation is available for authorization submissions.

• Accurately document communications, updates, and authorization activity within the electronic health record.

• Utilize hospital information systems and scheduling software effectively.

• Serve as a subject matter expert for TriWest and VA-related questions and assist with process improvement initiatives related to government healthcare workflows.

• Perform medical billing duties and financial administrative tasks as requested by management.

• Communicate effectively with management to ensure timely and accurate information sharing.

• Perform other duties as assigned.

Collaborative Teamwork

This role involves working closely with physicians, nurses, case managers, patients, military personnel, and administrative staff to deliver effective patient-focused services and contribute to a supportive and collaborative work environment.


Qualifications

• High School Diploma required.

• Experience with insurance authorizations, eligibility verification, referrals, healthcare administration, or medical billing preferred.

• Knowledge of TriWest, VA, or government healthcare programs preferred.

• Experience using electronic health records, scheduling systems, and healthcare software preferred.

• Ability to read, write, understand and communicate effectively in the English language.

• Must be able to put into practice Service Excellence skills with military personnel, patients, families, and coworkers.

• Strong organizational, problem-solving, and communication skills.

Benefits You'll Enjoy

• Medical, Dental, Vision

• 403B with Employer Match

• Life Insurance

• Flex Spending - Health Care & Dependent Care

• Employee Assistance Program

• Gym Membership Reimbursement

• Sick and Vacation Time

• RRH Earn-To-Learn Program

Welcome To RRH

Established for over 60 years, RRH is a non-profit, DNV-accredited, full-service hospital and integrated healthcare system serving our region across a 38-acre campus. RRH includes a 25-bed acute care hospital, a 125-bed skilled nursing facility, and a comprehensive network of services supported by more than 860 employees. Our organization operates five primary care clinics and other multi-specialty clinics, an ambulatory surgery center, ambulance services, and full-service imaging and laboratory capabilities-allowing RRH to deliver coordinated, high-quality care across the continuum. RRH received the American Medical Association's Joy in Medicine Award in both 2023 and 2025, recognizing its commitment to healthcare worker well-being. RRH also maintains an established physician well-being program.


Our mission is to be the partner of choice for the healthcare needs of our community. Our purpose is to care for our community's health and the well-being of those who care for them.


About Ridgecrest

Ridgecrest is a family-friendly community of 38,000 in the desert of central Southern California, far from the traffic and commotion of Los Angeles. Affordable and safe, it's been voted as the best place to live in Kern County by Niche. Home of the China Lake Naval Air Weapons Station, it is near the Sierra Mountains and full of natural wonders, outdoor recreation, and sunshine. Our hospital is close to Mammoth Ski Area, Mount Whitney, Sequoia National Forest, and Death Valley.


Learn more About Ridgecrest and the Outdoor Activities available throughout the region.