Authorization & Appeals Specialist
KabaFusion
KabaFusion in California seeks an experienced Authorization Specialist to manage complex eligibility, authorization, and financial assistance cases within home infusion services. You will handle escalations, second-level appeals, and challenging reimbursement scenarios to remove barriers to care. Collaborate with intake, clinical, pharmacy, and billing teams to ensure timely patient access, accurate documentation, and compliance with payer requirements. #J-18808-Ljbffr KabaFusion
$13.41 - $29.06 per hour
...provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and... ...). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for further...SuggestedHourly payFull timeWork experience placementWork at office$23 - $27 per hour
...accommodation or an alternative application process. Prior Authorization Specialist Hourly Brea, CA, US 4 days ago Requisition ID: 2248 Salary... ...other departments to assist in obtaining prior authorizations/appeals Document all interactions with insurance companies or other...SuggestedHourly payFull timeWork at office- A national recruiting company is seeking a Business Grievance/Appeals Representative in Cerritos, California. The ideal candidate will review, analyze, and process claims, conduct investigations into customer grievances, and ensure proper communication with customers. Candidates...SuggestedContract work
- ...Appeals Coordinator Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic... ...Essential Functions: Maintain a caseload of appeals, non-authorizations, provider disputes and/or PA review scheduling as assigned-...SuggestedContract workWork at officeMonday to Friday
$20.98 - $30.12 per hour
...billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems... ...with accurate information and professionalism. Performs appeals process when appropriate. Promotes accuracy among all accounts...SuggestedImmediate startRemote work- ...Construction Safety Specialist US-CA-Los Angeles Job ID: 2026-4795 Type: Regular Full-Time # of Openings: 1 Category... ...with OSHA/Cal OSHA, fire/life safety codes, NFPA, NEC and local authority requirements Support fire watch programs, hot work...Full timeTemporary workFor contractorsLocal area
$18 - $22 per hour
...eCommerce Specialist Department: eCommerce Summary: The eCommerce Specialist plays a key role in supporting the eCommerce and... ...fast-paced retail environment and work well under pressure. Authorized to work in the United States without sponsorship. Physical...Hourly payFull timeWork at office$24 - $30 per hour
...Parts Specialist Raymond West is looking for a dynamic Parts Specialist to join our team! The Parts Specialist is responsible for... ...Sales Orders for invoicing, receives payment, obtains credit authorization when necessary. Participate in general inventories and cycle...Hourly payPart timeWork at officeFlexible hours$25 - $28 per hour
...dedicated to making a difference in the lives of others.AtAlongside, we believe our success begins with our staff! The Intake & Authorizations (I&A) Supervisor oversees the I&A team across all assigned regions. This role involves managing authorized client hours,...Full timeMonday to FridayFlexible hours- ...you to apply today and discover a fulfilling career with us. What we are seeking: The Authorizations Coordinator II will be responsible for entering all authorizations into AveannaCare. They will be the point person for all...Work at officeImmediate start
- ...product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the...Full timeWork experience placementWork at office
$100k
...consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or...For contractorsWork at officeLocal area$20.14 - $29.16 per hour
...SCAN's Vision and Goals. Other duties as assigned. Your Qualifications ~0-3 years of related experience in Grievances and Appeals. ~ High school diploma or equivalent experience required. ~ Possesses comprehensive knowledge of subject matter (grievance and...Hourly payWork at officeRemote workShift work$120.63k - $200.62k
...Senior Permitting Specialist Worley Consulting is seeking an experienced Senior Permitting Specialist to join our Environment & Sustainability... ...agencies, including USEPA, FERC, USACE, and state/local authorities Proven ability to manage projects and deliver work...Full timeWork at officeLocal area$58.21k - $90.22k
...CalOptima Health is seeking a highly motivated Certified Coding Specialist to join our team. The Certified Coding Specialist will assist... ...reviewing medical records related to provider disputes and appeals. Additionally, the incumbent will respond to questions submitted...Temporary workWork at officeRemote workFlexible hoursWeekend workAfternoon shift$16.9 - $24.9 per hour
Job Summary Compensation Pay Range: $16.90 - $24.90. The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums that may be paid in amounts ranging per...Hourly payMinimum wageLocal areaImmediate startFlexible hours$31.42 - $37.89 per hour
...contingent upon verifying your status as a “U.S. Person” as defined by 22 C.F.R. § 120.15, or obtaining any required government authorization. Benefits Benefit offerings include Medical Insurance and Prescription Drugs, Dental Insurance, Vision Insurance, Flexible Spending...Hourly payFull timeTemporary workWork experience placementWork at officeMonday to FridayFlexible hoursShift work$16.5 - $24.5 per hour
...Delivery Specialist Compensation Pay Range: $16.50 - $24.50 The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D...Local areaImmediate startFlexible hours- ...Delivery Specialist The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. The position also collects money on C.O.D. deliveries and picks up customer returns. Bilingual...Immediate start
$70.5k
...Purchasing Specialist Since its establishment, TAWA Services, Inc. has been committed to providing exceptional service and support to the diverse Asian American communities. Leveraging our extensive network and global resources, we ensure timely and efficient delivery...Full timeWork at officeLocal area$16.9 - $24.9 per hour
Job Summary Compensation Pay Range: $16.90 - $24.90. The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums that may be paid in amounts ranging per...Hourly payMinimum wageLocal areaImmediate startFlexible hours$75k - $130k
...130,000 - yearly Job Description AECOM is seeking a Proposal Specialist III to assist in writing water business line proposals. This role... ...-go and green light analyses in compliance with delegation of authority guidelines, capture planning and positioning activities as...Daily paidWork at officeRemote workRelocation packageFlexible hours- ...Doty Bros Construction in Norwalk, California is seeking a Safety Specialist to manage safety programs and ensure compliance with safety regulations. The role includes conducting inspections, providing safety training, and maintaining records. The ideal candidate will...
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- ...Record Center Specialist La Palma, CA Join a team that values precision, strength, and teamwork. Location: La Palma, California Job Type: Full-Time | On-Site Compensation: Competitive hourly wage + Benefits About the Role We're looking for dedicated Record Center Specialists...Hourly payFull timeShift work
- ...Join to apply for the Order Management Specialist role at HR Advisors, Inc. 1 day ago Be among the first 25 applicants Join to apply for... ...written and verbal communication skills. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor...Full timeWork experience placementWork at officeRemote workWork visa
- Description: The Release of Information (ROI) Specialist I within the VitalChart department of VRC Companies, LLC ("VRC") is responsible... ...protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and...Work at officeImmediate startRemote work
- ...A leading home improvement retailer is seeking an Asset Protection Specialist in Cypress, CA. The role involves preventing financial loss through theft and fraud, ensuring safety compliance, and preparing detailed case reports. Candidates should demonstrate integrity,...
- Bunzl Distribution NA is seeking a Lead Accounts Receivable Specialist to maintain accurate invoicing, collect payments on time, and maintain customer accounts. This role focuses on reducing past-due balances and improving cash flow while partnering with Sales, Customer...Full time
- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to...
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