Prior Authorization Coordinator

Prior Authorization Coordinator

Remote | Hybrid | Onsite (Your Choice)
Monday-Friday | 8:00-4:30 or 8:30-5:00
Temp-to-Hire (Permanent after 720 hours)
$58,000-$65,000 annually

Position Overview

We are seeking a detail-oriented Prior Authorization Coordinator to support a fast-paced healthcare operations team. In this role, you will be responsible for tracking authorization statuses, following up on pending approvals, and ensuring timely processing within established service level agreements (SLAs).

This position is ideal for someone who thrives on organization, proactive follow-up, and data accuracy, and who brings experience working with authorizations, approvals, or verification processes.

What You'll Do

• Verify that prior authorization submissions are progressing within timelines established by management
• Respond to inbound calls, voicemails, and incoming faxes; manage non-standard status checks such as delayed authorizations and specialty portals
• Provide accurate forecasting for pending authorization decisions with insurers
• Enter approvals and place orders in the CRM system upon receipt
• Maintain detailed records of customer interactions, including inquiries, complaints, and actions taken, in compliance with HIPAA guidelines
• Develop and maintain proficiency in CRM systems, Microsoft Office, and other internal databases
• Ensure compliance with HIPAA and FERPA regulations and internal privacy standards
• Respond promptly and document all communications across email, phone, fax, chat, and mail channels
• Perform ongoing data collection and maintenance to ensure accuracy of medical information for reporting, auditing, and process improvement
• Collaborate cross-functionally to support company initiatives and departmental goals
• Perform additional duties as assigned

What We're Looking For

• High School Diploma or equivalent (some college preferred)
• 2+ years of customer service, coordination, or related experience
• Experience with prior authorizations, insurance approvals, verifications, or account follow-up
• Strong attention to detail and ability to track deadlines and processes
• Excellent written and verbal communication skills
• Strong data entry and system navigation abilities
• Comfortable handling outbound and inbound communication
• Ability to multitask and meet deadlines in a fast-paced environment
• Strong problem-solving and analytical skills
• Self-motivated with the ability to work independently and on a team
• Adaptable and process-improvement minded

Compensation & Benefits

During Contract Period

• Medical, dental, and vision insurance
• Supplemental coverage options
• Life insurance & short-term disability
• Paid sick and safe time (per guidelines)
• Employee discount programs

Upon Permanent Hire

• Employer-subsidized medical coverage
• Generous PTO + paid holidays
• Annual bonus opportunities
• Retirement plan with employer contribution
• Ownership or profit-sharing program
• Wellness/lifestyle stipend
• Tuition reimbursement & student loan assistance
• Phone & internet reimbursement (for remote/hybrid employees)
• Paid volunteer time

Work Environment

• Collaborative, team-focused culture
• Strong emphasis on growth and innovation
• Flexible work arrangements for work-life balance
• Inclusive and supportive leadership
• Clear opportunities for career advancement

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.