Average salary: $83,663 /yearly

More stats
Get new jobs by email
  • $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 check eligibility for medical procedures and services... 
    Suggested
    Hourly pay
    Full time
    Work at office

    Apex Practice Management Group

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

    Phil

    San Francisco, CA
    1 day ago
  • $27 - $35 per hour

     ...answering phone calls, processing referrals, working through authorization and billing issues, and reconciling medication history. This position...  ...phone and prefers working in an office setting and has some prior knowledge of pharmacy and medical insurance processing.... 
    Suggested
    Contract work
    Temporary work
    Work at office
    Local area
    Remote work
    Shift work

    TEKsystems

    San Diego, CA
    4 days ago
  • A healthcare management firm in Los Angeles is seeking an experienced Prior Authorization/Insurance verification Specialist. The candidate will be responsible for obtaining insurance authorizations and verifying eligibility for medical services. This in-person role requires... 
    Suggested

    Apex Practice Management Group

    Los Angeles, CA
    20 hours ago
  •  ...determine allowances and identify root causes of denials. Manage various denial types that may result in low-pay appeals, prior authorizations, Clinical and Administration Level 1 and Level 2 appeals. Submit corrected claims and appeals in accordance with payer... 
    Suggested
    Full time
    Temporary work
    Immediate start

    Lucid Diagnostics

    Foothill Ranch, CA
    3 days ago
  • $27 - $33 per hour

     ...Obtain and verify insurance eligibility for services provided and document complete information in system accurately. Perform prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and... 
    Suggested
    Full time
    Local area

    California Protons Cancer Therapy Center

    San Diego, CA
    20 hours ago
  • $35.69 - $44.44 per hour

     ...organization in Sacramento is seeking a Pharmacy Technician 3 responsible for managing patient information and assisting pharmacists with authorization requests. The ideal candidate must possess a California Pharmacy Technician license and demonstrate strong problem-solving... 
    Suggested
    Hourly pay

    UC Davis Health

    Sacramento, CA
    1 day ago
  •  ...Care Moving Heart & Vascular Wellness Center is looking for an experienced, dependable, and highly organized Front Office & Prior Authorization Specialist to join our team. This is a great opportunity for someone who enjoys working in a fast‑paced specialty practice and... 
    Suggested
    Contract work

    Heart and Vascular Wellness Center, Murrieta

    Murrieta, CA
    20 hours ago
  • $86.25k - $101.5k

     ...compensation claims of higher technical complexity within established authority. Investigate claims promptly and thoroughly, including...  ...Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered... 
    Suggested
    Local area

    Argo Group

    Los Angeles, CA
    2 days ago
  • $28.41 - $37.49 per hour

     ...individuals to manage patient admissions and insurance verifications. The role involves collecting demographic information, obtaining prior authorizations, and ensuring compliance with Medicare and Medi-Cal. Candidates must have knowledge of medical terminology and excellent... 
    Suggested
    Hourly pay
    Work at office

    UCLA Health

    Los Angeles, CA
    1 day ago
  • $18 - $19 per hour

     ...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... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Part time
    Shift work
    Night shift

    Polaris Pharmacy Services

    Covina, CA
    1 day 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... 
    Suggested
    Full time
    Live in

    Neon | AI-powered patient access

    San Francisco, CA
    2 days ago
  • $38 - $42 per hour

     ...Prior Authorization Nurse Case Manager (PACM) Granada Hills, CA Full-Time Direct Hire The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate... 
    Suggested
    Full time

    Care Navigators On Demand

    Northridge, CA
    3 days ago
  • $100 - $120 per hour

     ...(Avg 200~300 patients monthly) Admin Suppor t: Klarity care team will assist practitioners closely on scheduling, billing, prior authorizations, and insurance. Flexible hours : Klarity allows practitioners to see patients on their own schedule with no operation hour limits... 
    Suggested
    Part time
    For contractors
    Remote work
    Flexible hours

    Klarity Health

    Santa Monica, CA
    3 days ago
  • $23.76 - $51.49 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

    Long Beach, CA
    4 days ago
  •  .... Insurance Navigation & Access Support Complete and interpret benefit verifications for coverage, cost-share, and prior authorization needs. Resolve insurance challenges, including exclusions, exceptions, and appeals. Share payer insights with internal... 
    Remote work

    Glaukos Corporation

    San Clemente, CA
    4 days ago
  •  ...Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our Shared Services department including concurrent... 
    Full time
    Work at office

    Blue Shield of CA

    Oakland, CA
    4 days ago
  •  ...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... 
    Work at office

    Molina Healthcare

    Long Beach, CA
    20 hours ago
  •  ...parties and explain all facility services as needed. Work with multiple departments (i.e. Nursing, Social Services, Staffing, Housekeeping) to ensure a seamless admission into the facility. Verify insurance benefits and obtain prior authorizations as applicable.... 
    Temporary work

    Sunnyside Nursing and Post-Acute Care

    Torrance, CA
    3 days ago
  • $170k

    Zurich Insurance Company Ltd. is seeking an Underwriting Specialist or Executive Underwriter, Core Contract Surety, to join our Billing, Insurance & Investment department within the Insurance industry. In this role, you will be responsible for evaluating, underwriting, ...
    Contract work
    For contractors

    Zurich Insurance Company Ltd.

    San Francisco, CA
    4 days ago
  • $75k - $165k

     ...you will underwrite and analyze new and renewal Surety business utilizing The Zurich Way of Underwriting Framework within delegated authority levels on assignments of higher technical complexity ensuring a high-level service to customers. Our Underwriters are Client... 
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich Insurance Company Ltd.

    San Francisco, CA
    20 hours ago
  • $153.49k - $202.43k

     ...knowledge, innovation and improvements and empirical outcomes. UC San Diego Health has held its Magnet status since 2011. The Prior Authorization UM Case Manager is responsible for managing the prior authorization process for various medical services, procedures, and... 
    Hourly pay
    Remote work
    1 day per week

    University of California

    San Diego, CA
    1 day ago
  • $190.34k

     ...Certification (OCN). Two (2+) or more years of outpatient oncology experience. Recent experience with processing prior authorizations for specialty medications and durable medical equipment. Experience with vulnerable patient populations. SPECIAL CONDITIONS... 
    Hourly pay
    Daily paid

    University of California

    San Diego, CA
    20 hours ago
  • $21 - $24 per hour

     ...will have a minimum of 2 years of experience in a similar role, with a strong background in scheduling surgeries, submitting prior authorizations, working the front desk, checking in patients and providing administrative support for provider's teams. This role involves... 
    Contract work
    Work at office
    Immediate start
    Flexible hours

    Jobot

    San Francisco, CA
    4 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
    4 days ago
  • $21 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... 
    Temporary work
    Work at office
    Local area

    PhyNet Dermatology LLC

    Santa Ana, CA
    4 days ago
  •  ...scheduling, and check-in/check-out Verify insurance and assist with authorizations Coordinate referrals, imaging, and outside records Communicate...  ...facility (SNF) or post-acute care exposure Experience with prior authorizations and insurance workflows What We Offer... 
    Full time

    Royal wound care

    Los Angeles, CA
    2 days ago
  • $22 - $26 per hour

     ...physicians, nurses, social workers and discharge planners to establish a coordinated plan of care. Obtains and documents prior authorization for services from insurance providers. Ability to demonstrate compassion and courtesy when dealing with difficult situations... 
    Hourly pay
    Full time
    Flexible hours
    Shift work

    One Health Home Health

    Livermore, CA
    20 hours ago
  •  ...directional information needed; take appropriate action in responding to questions from patients in a timely manner; obtain prior authorizations and entering surgery referral requests; ensure patients have pre-surgical medical clearance and results are received prior to... 
    Local area
    Shift work
    Weekend work

    Zenex Partners

    Los Angeles, CA
    20 hours 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
    3 days ago