Average salary: $67,143 /yearly
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$101.18k - $120.46k
...Working under limited technicaldirection and within broad limits and authority,partner with adjuster, auto/property owner, and/or our vendor(s... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedFull timeWork experience placementLocal areaArgonaut Management Services, Inc
Los Angeles, CA1 day ago$108.02k - $127.19k
...upon company underwriting guidelines and granted underwriting authority.* Utilize underwriting tools to determine accurate classifications... ...:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedWork at officeLocal area- ...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 service or medication...Suggested
Career Strategies
Fresno, CA4 days ago $23 - $27 per hour
...Prior Authorization Specialist Infusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Arizona, Nevada, Washington, Colorado, and Missouri. Our center is unique and offers individual comfortable private...SuggestedFull timeWork at officeInfusion For Health
Brea, CA1 day ago$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
Santa Clarita, CA2 days ago- MedImpact Healthcare Systems, Inc. is seeking a Pharmacy Technician to join the Prior Authorization Operations team. This role processes prior authorization requests, analyzes clinical guidelines, and uses various systems to ensure accurate, timely determinations for claims...Suggested
- ...Verifier focuses on confirming coverage details, identifying authorization needs, and helping patients understand their expected financial... ...exclusions that may affect patient liability.• Determine when prior authorization or referral approval is required and record all...Suggested
- AmeriPharma in Laguna Hills, CA seeks an Insurance Verification Coordinator to verify insurance coverage and obtain required prior authorizations. You will work with insurers, patients, and internal teams to ensure timely access to care and proper reimbursement. Strong...SuggestedFull timeMonday to Friday
- 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
$48k - $70k
All Seniors Foundation is seeking an Insurance Authorization Specialist in Los Angeles, CA. This role involves obtaining prior authorizations from Medi-Cal and commercial payers to ensure seniors receive the care they need. Candidates should have over 2 years of experience...Suggested$20 per hour
...intersection of healthcare administration, customer service, and machine learning, helping to verify insurance coverage, manage prior authorizations, and ensure that all information is captured and documented with precision. Typical call volume ranges from 10–20 calls per...SuggestedContract workTemporary workInternshipWork at officeRemote workAston Carter
San Francisco, 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...SuggestedHourly payFull timeRemote work$20 per hour
...intersection of healthcare administration, customer service, and machine learning, helping to verify insurance coverage, manage prior authorizations, and ensure that all information is captured and documented with precision. Typical call volume ranges from 10-20 calls per...SuggestedContract workTemporary workInternshipWork at officeRemote workAston Carter
San Francisco, CA2 days ago$59k - $65k
...Loans, HPML, and bona fide changes in circumstance Review executed loan documents for accuracy and proper execution prior to issuing funding authorization Analyze and interpret complex closing documentation Research and resolve issues by gathering facts,...SuggestedLendSure Mortgage Corp.
San Diego, CA3 days ago- ...Authorization Coordinator The Authorization Coordinator is a fast-paced position that requires exceptional attention to detail and a thorough... ...requirements. The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility...Suggested
Phoenix Heart
Glendale, CA5 days ago - ...to 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...Full timeTemporary workImmediate start
Lucid Diagnostics
Lake Forest, CA2 days ago - A healthcare organization in California is seeking a Prior Authorization Representative responsible for verifying prior authorization requirements and facilitating patient access to therapies. The role involves coordinating paperwork and communication with physician offices...Remote job
$74k - $84k
...Join to apply for the Prior Authorization Specialist role at Mainstay Medical 2 days ago Be among the first 25 applicants This range is provided by Mainstay Medical. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base...Full timeWork experience placementWork at officeMainstay Medical
San Diego, 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, CA10 days ago- ...guidelines, policies and nationally recognized clinical criteria for the Federal Employee Program.Conducts clinical review of prior authorization requests for medical necessity, coding accuracy, medical policy compliance and contract compliancePrepare and present cases...Contract work
ICONMA
Rancho Cordova, CA4 days ago - ...resolve claim issues. · Monitor escalated claims through resolution and provide regular status updates. · Assist members with prior authorization, referral, and appeals processes. · Review Explanation of Benefits (EOBs) and carrier correspondence to assist members in...Work at office
Brown Insurance Services
Orange, CA1 day ago $120 per hour
...Established and growing skilled nursing facility relationships across Northern California Full administrative support: scheduling, prior authorization, and billing handled for you Dedicated wound care technician on your route every day Supportive clinical culture with...Local areaMonday to ThursdayWeekend workNORTH VALLEY SPECIALTY GROUP INC
Rancho Cordova, CA1 day ago$170 - $190 per hour
...Core Responsibilities UM Reviews & Clinical Decision-Making Review UM cases where physician input is needed, including prior authorizations, secondary reviews, and medical necessity questions. Make thoughtful, medically appropriate decisions that balance...Hourly payPart timeWork at officePaycom
Huntington Beach, CA2 days ago- ...to insurances, vendors, and providers. Design individual agents that orchestrate end-to-end workflows such as DME delivery, prior authorizations, and care coordination. Build copilots that assist and nudge advocates in real time. Build the eval and reinforcement learning...Full timeWork at officeRemote work
Drh Search Llc
San Francisco, CA12 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 Degrees Corporation dba 986 Pharmacy
Los Angeles, CA24 days ago $330k - $400k
...45 minutes Supportive team of medical assistants and medical billers on staff Built-in processes for medical records, prior authorization, prescriptions, and lab management Mentoring and collaboration opportunities with colleagues on complex cases Additional...Hourly payFull timeContract workH1bImmediate startCompHealth
Santa Rosa, CA1 day ago$48k - $70k
Insurance Authorization Specialist - Clear the Path for LA Seniors to Get Free Care Company: All Seniors Foundation Location: Los Angeles,... ...Overview As Insurance Authorization Specialist, you will obtain prior authorizations from Medi‑Cal, Medicare Advantage plans, and...- ...insurance plans, HMO/PPO plans, Medicare, Medicare Advantage, Medi-Cal, payer contracts, benefits, eligibility requirements, prior authorizations, and healthcare financial policies at a high-level accuracy.The Financial Counselor is responsible for reviewing and...Work experience placementMonday to Friday
- ...Intake Specialist for onsite work in Newbury Park, CA. You will own the new patient intake experience, verify insurance, secure prior authorizations, and prepare complete, billable documentation to enable clean billing downstream. You will join a growth-focused revenue...
$100k
...Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost effective manner. Processing... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...Local areaRemote work
