Average salary: $66,254 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Grizzly Flats, CA5 days ago- ...~ Prior authorization submission: Prepare and submit prior authorization requests to insurance companies, including necessary medical documentation, diagnosis codes, and treatment plans. ~ Clinical review: Analyze medical records to determine if a requested...Suggested
Career Strategies
Fresno, CA4 days ago $90k - $130k
...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedHourly payFull timeWork at officeLocal areaRemote work$22 per hour
...calculate deductibles and co-pays. Verify benefits, prepares pre-authorization requests. Document approvals and follow-up with appeals in... ...or GED ~ Experience in medical insurance and medical device prior authorization (preferred) ~3+ years of reimbursement process...SuggestedHourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift workMaven Wise
Valencia, CA2 days ago$24 per hour
...ensuring accurate patient registration, insurance verification, authorization management, and financial clearance for patients requiring sub... ..., and coverage information. Identify services requiring prior authorization and obtain necessary approvals for treatment and...SuggestedContract workTemporary workRemote workTEKsystems
Carson, CA2 days ago$75k - $85k
...Prior Authorization Specialist This position is onsite in San Diego. Mainstay Medical Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8, for people with disabling chronic mechanical...SuggestedWork experience placementWork at officeMainstay Medical
San Diego, CA13 hours ago$3,138 per week
...charge experience is preferred. Skills required include care coordination, medical necessity evaluation, discharge planning, and prior authorization. Candidates must also be knowledgeable of HIPAA guidelines and CMS regulations. Work history verification and documentation...SuggestedFull timeContract workRemote workShift work3 days per weekTravelNurseSource
San Francisco, CA4 hours ago$2,872 per week
...Candidates should have experience in case management, including admission criteria, care coordination, discharge planning, and prior authorizations. This position includes working with adolescents, adults, pediatrics, and geriatrics. Daily patient caseload can go up to...SuggestedFull timeContract workLocal areaShift workWeekend workTravelNurseSource
Eureka, CA4 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...Suggested
986 Degrees Corporation dba 986 Pharmacy
San Gabriel, CA5 days ago - ...patients at check out.• Obtain Lab/test results from outside as well as sending standing orders to designated labs• Processing prior authorizations for various tests MD orders• Contacting insurance companies to file appeals or obtain verbal authorizations for urgent...Suggested
BASS Medical Group
San Jose, CA5 days ago - ...Laguna Hills, CA is seeking an Insurance Verification Coordinator to verify patients' insurance coverage and obtain required prior authorizations. This role ensures timely access to care and supports proper reimbursement while collaborating with insurers, patients, and...Suggested
$180.5k - $236.91k
...reducing friction across critical journeys such as credentialing, authorizations, disputes, accounts receivable, and issue resolution. You will... ...with credentialing, claims disputes, accounts receivable, prior authorization, provider onboarding, or provider servicing. ~...SuggestedFull timeWork at officeFlexible hoursOscar Health
Los Angeles, CA1 day ago- ...patients at check out.• Obtain Lab/test results from outside as well as sending standing orders to designated labs• Processing prior authorizations for various tests MD orders• Contacting insurance companies to file appeals or obtain verbal authorizations for urgent...Suggested
BASS Medical Group
Los Gatos, CA5 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
- ...for performing insurance verification functions and obtaining authorizations from various insurance carriers. This role requires a high level... ...Coordination: *Identifies insurance companies requiring prior authorization for services and obtains authorization. Coordinates...SuggestedWork experience placementWork at officeFlexible hours
City of Hope
South Pasadena, CA2 days ago $40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40.00 per hour Expected Hours: 40 hours per week Company Overview... ...claims, including Medicare Part D. Qualifications Required: Prior experience in home infusion. Preferred: Familiarity with...Hourly payFull timeRemote work- ...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 timeLive inNight shift
Neon Health
San Francisco, CA5 days ago - ...Verify codes and resources, securing required documentation and authorizations Communicate pre- and post-procedure instructions to... ...staff to ensure smooth operations Insurance Eligibility & Prior Authorization Verify insurance eligibility and benefits, manage...Full timeTemporary workWork at officeFlexible hours
Lifekind Health
Cathedral City, CA3 days ago $37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...Hourly payTemporary workRemote work- ...Prior Authorization Pharmacy Technician Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional...
Infusion For Health
Riverside, CA1 day ago - ...Patients are evaluated and cleared by a consulting physician prior to your procedural day. You perform fluoroscopy-guided RFA with... ...Administration: Our direct-pay, cash-pay model means no prior authorizations, no insurance denials, no appeals. When you determine a...Full timePart timeWork at officeLocal area2 days per week3 days per week1 day per week
AROmotion
Los Angeles, CA5 days ago - ...Benefit program. The ideal candidate will have a minimum of 2 years of Pharmacy Technician experience , along with 2 years of Prior Authorization experience and an active California Pharmacy Technician license . REQUIRED SKILLS Primary (Must-Have): Minimum 2...Contract workWork at officeRemote workShift work
Pacer Group
Sacramento, CA1 day ago - UCLA Health is seeking a health services professional to manage urgent, routine, pre-service, and retro authorization requests. You will process prior authorizations for claims adjudication using various business apps and ensure timely, accurate determinations per clinical...
$200k - $235k
...team supporting end-to-end utilization management and clinical review functions, including medical necessity determinations, prior authorization, concurrent and retrospective review, Shared Medical Bills (SMB) clinical review, appeals support, and associated provider and...Full timeWe Share
Orange, CA2 days ago$18 - $32 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 timeTemporary workWork experience placementWork at officeLocal areaShift workDay shiftUnitedHealth Group
Pleasanton, CA5 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
Lodi, CA5 days ago - ...in person. You will collect demographics and review insurance benefits to ensure proper patient processing. You will obtain prior authorizations, handle cash collections, and work with Medi-Cal/ CCS and Medicare requirements while coordinating with physicians and hospital...
$1,844 - $2,073 per week
...Care, Participates in care conference activities, Patients with communication problems (hearing, speech), Power of Attorney, Prior Authorization, Provide / reinforce individualized patient/caregiver education, Provide crisis intervention, Refers to other disciplines/resources...Weekly payDaily paidPermanent employmentFull timeContract workTemporary workLocal areaImmediate startRelocationShift workAya Healthcare
Mission Viejo, CA1 day ago$2,542 per week
...Families with Dependent Children)Food stamps HMOs Housing Charities Medicaid Medical Transportation Medicare Medication Assistance Prior Authorization Social Security TANF (Temporary Aid for Needy Families) Knowledge of community based service programs Agency on Aging HCBS...Full timeContract workTemporary workImmediate startShift workWeekend workTalentBurst Inc.
Mission Viejo, CA1 day ago$22 per hour
...Job Description Job Description 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...Hourly payFull timeWork at officeApex Practice Management Group
Los Angeles, CAa month ago
