Average salary: $83,663 /yearly
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$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...SuggestedHourly payFull timeWork at officeApex Practice Management Group
Northridge, CA3 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...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
Phil
San Francisco, CA1 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....SuggestedContract workTemporary workWork at officeLocal areaRemote workShift workTEKsystems
San Diego, CA4 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
- ...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...SuggestedFull timeTemporary workImmediate start
Lucid Diagnostics
Foothill Ranch, CA3 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...SuggestedFull timeLocal area$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...SuggestedHourly pay- ...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...SuggestedContract work
$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...SuggestedLocal area$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...SuggestedHourly payWork at office$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...SuggestedHourly payFull timeTemporary workPart timeShift workNight shiftPolaris Pharmacy Services
Covina, CA1 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...SuggestedFull timeLive in
Neon | AI-powered patient access
San Francisco, CA2 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...SuggestedFull timeCare Navigators On Demand
Northridge, CA3 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...SuggestedPart timeFor contractorsRemote workFlexible hoursKlarity Health
Santa Monica, CA3 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...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Long Beach, CA4 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, CA4 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 timeWork at office
Blue Shield of CA
Oakland, CA4 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, CA20 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, CA3 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 workFor contractorsZurich Insurance Company Ltd.
San Francisco, CA4 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 timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
San Francisco, CA20 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 payRemote work1 day per weekUniversity of California
San Diego, CA1 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 payDaily paidUniversity of California
San Diego, CA20 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 workWork at officeImmediate startFlexible hoursJobot
San Francisco, CA4 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 payImmediate startWork from homeCareNational
Los Angeles, CA4 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 workWork at officeLocal areaPhyNet Dermatology LLC
Santa Ana, CA4 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, CA2 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 payFull timeFlexible hoursShift workOne Health Home Health
Livermore, CA20 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 areaShift workWeekend work
Zenex Partners
Los Angeles, CA20 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, CA3 days ago
