Average salary: $83,663 /yearly

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  •  ...Creek, CA 94598, USA Description Insurance Verification & Authorization Verify patient eligibility, benefits, coverage...  ...deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service. Obtain and validate prior authorizations... 
    Suggested
    Full time
    Local area

    Surgery Partners

    Walnut Creek, CA
    2 days ago
  • $86k - $101.5k

     ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...  ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Local area

    Argo Group

    Los Angeles, CA
    3 days ago
  • $136.9k - $163k

     ...preferred.* A minimum of five years underwriting experience with authority* A genuine excitement to not only meet, but exceed, our...  ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Local area

    Argo Group

    Los Angeles, CA
    1 day ago
  • $55 - $65 per hour

     ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced... 
    Suggested
    Hourly pay
    Shift work

    ClinDCast

    Venice, CA
    4 days ago
  •  ...Job Summary Our client is seeking an Administrative Coordinator to manage administrative tasks, especially focusing on prior authorizations, referrals, and communications with insurance companies and pharmacies. The position requires skills in managing patient follow-... 
    Suggested
    Temporary work
    Local area
    Monday to Friday
    Shift work

    Medix

    Santa Monica, CA
    3 days ago
  • PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. About the Company Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software Therapy Deployment... 
    Suggested
    Full time
    Work at office
    Remote work
    Monday to Friday
    Shift work

    PHIL, Inc.

    San Francisco, CA
    2 days ago
  • $20 - $21 per hour

    Our client is looking for a reliable and detail-oriented person to join their team as a Prior Authorization Representative. In this role, you will help our medical team process insurance requests to make sure patients get the healthcare services they need on time. You will... 
    Suggested
    Hourly pay
    Temporary work
    Work experience placement
    Local area
    Shift work
    Weekend work

    Randstad USA

    Sacramento, CA
    2 days ago
  • $24 - $25 per hour

     ...established gastroenterology practice in Berkeley, CA seeking an experienced Medical Insurance Authorization Specialist to join our team. This role is essential to ensuring timely prior authorizations and effective coordination between patients, providers, and insurance... 
    Suggested
    Hourly pay
    Full time
    Monday to Friday

    BASS Medical Group

    Berkeley, CA
    3 days ago
  • $153.49k - $202.43k

    A prominent medical organization is seeking a Prior Authorization UM Case Manager in San Diego. This hybrid position involves managing the prior authorization process for various medical services and coordinating with healthcare providers and insurance companies. Candidates... 
    Suggested

    University of California - San Diego Medical Centers

    San Diego, CA
    5 days ago
  • $22 per hour

    Job Description Job Summary We are seeking a detail-oriented Prior Authorization / Insurance Verification Specialist to join our team. The ideal candidate will be responsible for obtaining insurance authorizations and checking eligibility for medical procedures and services... 
    Suggested
    Hourly pay
    Full time
    Work at office

    Apex Practice Management Group

    Los Angeles, CA
    1 day ago
  • $64.88 - $83.91 per hour

     ...leading healthcare institution in Los Angeles seeks a Utilization Management Review Nurse to evaluate clinical documentation for prior authorization requests and provide guidance on medical necessity standards. Candidates must possess a BSN/MSN, California RN license, and... 
    Suggested
    Hourly pay

    340B Health

    Los Angeles, CA
    5 days ago
  •  ...resolution methods when conventional negotiation does not achieve a settlement. Complete necessary payer paperwork, including prior authorization forms and manual billing. Handle non-standard order entry situations as required. Support training needs within the team.... 
    Suggested
    Full time
    Temporary work
    Part time
    Shift work

    Polaris Pharmacy Services

    Covina, CA
    5 days ago
  • $20 - $21 per hour

    A recruitment agency is seeking a reliable Prior Authorization Representative in California. This role involves processing insurance requests, data entry, and ensuring timely healthcare services for patients. The ideal candidate will have 2 years of experience, knowledge... 
    Suggested
    Hourly pay

    Randstad USA

    Sacramento, CA
    2 days ago
  • $30.37 - $59.21 per hour

     ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. - Processes requests within required timelines. - Refers appropriate... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Bakersfield, CA
    3 days ago
  • $19 - $25 per hour

     ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband... 
    Suggested
    Hourly pay
    Daily paid
    Local area

    Facile

    Los Angeles, CA
    2 days ago
  •  ...Degree * License to practice in California must be in progress prior to the start date * Five years experience as a practicing...  ...physician with knowledge of managed care and the process for prior authorization review * Knowledge of physician social and political behavior... 
    Full time

    Vivo HealthStaff

    San Diego, CA
    5 days ago
  •  ...adjust therapy as necessary. Manage patient communications, including portal messages and results follow-up. Coordinate prior authorizations and appeals for obesity medications. Collaborate effectively with interdisciplinary team members. Contribute to the... 
    Full time

    Cedars-Sinai

    Los Angeles, CA
    2 days ago
  •  ...degree required Licensed in California Job Highlights: No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management A part of one of the flagship ACOs, now a 2nd generation ACO This full-time... 
    Full time
    3 days per week

    CURAtive

    Palm Springs, CA
    9 days ago
  • $250k - $300k

     ...the San Fernando Valley and be available for occasional on-site meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-effective, high-... 
    Permanent employment
    Live in
    Remote work

    Integrity Healthcare

    Northridge, CA
    2 days ago
  •  ...refills with the supervising pharmacist, generate refill documentation, and process third party claims adjudication. Completes prior authorizations. Enter prescription information into computer databases; accesses, processes, and retrieves data from the pharmacy system... 

    986 Pharmacy

    Los Angeles, CA
    4 days ago
  • $17.98 - $32.12 per hour

     ...payers directly, utilizes approved scripting Obtains referral, authorization and pre-certification information and documents this...  ...Preferred Qualifications: ~1+ years of experience with prior authorizations ~1+ years of experience working with electronic... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Shift work
    Day shift

    Navihealth

    Pleasanton, CA
    5 days ago
  • $58 - $63.79 per hour

     ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,... 
    Full time
    Contract work
    Local area

    Cherokee Federal

    Fairfield, CA
    2 days ago
  • $400k

     ...hospitalist Ability to work in person Job Highlights: ~ No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management Compensation & Benefits: ~$400,000 guaranteed plus incentives ~... 
    Relocation package

    CURAtive

    Lancaster, CA
    2 days ago
  •  ...medical history, demographics, current condition, documentation. Verify insurance coverage, Medicare / Medicaid eligibility, prior authorizations as needed. Enter referral and patient data into EMR and maintain accurate documentation. Coordinate with clinical... 
    Work at office

    Prudential Healthcare

    Cerritos, CA
    1 day ago
  •  ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative... 

    Hire Talent

    San Jose, CA
    4 days ago
  • $23 - $25 per hour

     ...Essential Duties and Responsibilities include the following: Understand and execute the principles of Prior Authorization to facilitate the right care at the right time in the right setting. Perform all assistant and coordinator job functions. Able to solve... 
    Hourly pay
    Full time
    Casual work
    Work at office
    Immediate start
    Relocation package
    Flexible hours

    Regal Medical Group

    San Bernardino, CA
    3 days ago
  •  ...abandoned due to: Cost barriers: Patients with high copays are 5x more likely to abandon treatment Insurance maze: Complex prior authorizations block access Logistical challenges: Coordinating medical visits for treatments Our solution: Neon's technology eliminates... 
    Full time
    For contractors
    Live in
    Night shift

    Neon Health

    San Francisco, CA
    2 days ago
  • $37 - $50 per hour

     ...license. Prefer candidates with a Bachelors of Science in Nursing (BSN) or related healthcare field. Minimum of 3+ year of prior authorization/ denials experience Minimum of 1+ year of acute care/case management experience Proficient in MS Office programs (i.e.,... 
    Hourly pay
    Immediate start
    Work from home

    CareNational

    Los Angeles, CA
    3 days ago
  • $60.55k

     ...program. BART or BLS at time of hire with commitment to get BART within six (6) months of hire date. Experience with prior authorization for Medications. Knowledge of medical terminology, universal precautions, and proper use of body mechanics.... 
    Hourly pay
    Daily paid

    University of California

    San Diego, CA
    1 day ago
  •  ...Job Description Pay 22-24/h The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various... 

    Planet Pharma

    Roseville, CA
    2 days ago