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...SuggestedFull timeLocal area
Surgery Partners
Walnut Creek, CA2 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...SuggestedLocal areaArgo Group
Los Angeles, CA3 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...SuggestedLocal area$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...SuggestedHourly payShift workClinDCast
Venice, CA4 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-...SuggestedTemporary workLocal areaMonday to FridayShift work
Medix
Santa Monica, CA3 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...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
$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...SuggestedHourly payTemporary workWork experience placementLocal areaShift workWeekend work$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...SuggestedHourly payFull timeMonday to Friday$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$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...SuggestedHourly payFull timeWork at office$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...SuggestedHourly pay- ...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....SuggestedFull timeTemporary workPart timeShift work
Polaris Pharmacy Services
Covina, CA5 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...SuggestedHourly pay$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...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Bakersfield, CA3 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...SuggestedHourly payDaily paidLocal areaFacile
Los Angeles, CA2 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, CA5 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, CA2 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 time3 days per week
CURAtive
Palm Springs, CA9 days ago Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati
$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 employmentLive inRemote workIntegrity Healthcare
Northridge, CA2 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, CA4 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 payMinimum wageFull timeWork experience placementWork at officeLocal areaShift workDay shift$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 timeContract workLocal areaCherokee Federal
Fairfield, CA2 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 packageCURAtive
Lancaster, CA2 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, CA1 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, CA4 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 payFull timeCasual workWork at officeImmediate startRelocation packageFlexible hoursRegal Medical Group
San Bernardino, CA3 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 timeFor contractorsLive inNight shift
$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 payImmediate startWork from homeCareNational
Los Angeles, CA3 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 payDaily paidUniversity of California
San Diego, CA1 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, CA2 days ago
