Average salary: $71,371 /yearly
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$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 areaAmerican Indemnity
Los Angeles, CA1 day ago$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' 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
Los Angeles, CA2 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...SuggestedFull timeLive inNight shift
Neon Health
San Francisco, CA1 day 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...SuggestedWork at officeLocal area
Brown Insurance Services
Orange, CA5 days ago $86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...: 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$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, CA17 hours ago$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...SuggestedFull timeEvolving Solution Services
Orange, CA3 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...SuggestedHourly payFull timeWork at officeInfusion For Health
Brea, CA17 hours ago$35.81 - $38.96 per hour
...join a healthcare organization focused on improving patient access to essential medications. This role involves managing the prior authorization process and ensuring compliance with healthcare regulations. The ideal candidate will possess strong communication skills, a...SuggestedHourly pay$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 unsolicited...SuggestedFull timeWork experience placementLocal areaArgonaut Management Services, Inc
Los Angeles, CA1 day ago$132.29k - $155.86k
...experience, including 4 years in a People Leadership capacity. Prior experience as a claims adjuster is helpful. Bachelor's degree... ...their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...SuggestedFull timeWork at officeLocal areaArgonaut Management Services, Inc
Los Angeles, CA2 days ago- ...to Observation patients including contact with insurance for authorization as needed. The RN UM ensures high quality care and efficiency... ...patients. # Ensures completion of patient records and attachments prior to submitting them to Medi-Cal via e-TAR. # Assist with...SuggestedFull time
Martin Luther King, Jr. Community Hospital
Whittier, CA17 hours ago - Baylor Scott & White Health is hiring an Insurance Verification Specialist in Sacramento, California. This role ensures timely insurance verification and impacts reimbursement for patient accounts. The ideal candidate should have at least 2 years of healthcare or customer...SuggestedWork at office
- 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
$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$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...Hourly payFull timeWork at officeApex Practice Management Group
Northridge, CA2 days ago$2,605 per week
...Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), Needs Assessment/ Order DME, Plan of Care, Prior Authorization*, Prior Authorizations* Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : - Patient Ratios Nights...Full timeContract workLocal areaImmediate startShift workNight shiftWeekend workPrime Staffing
San Diego, CA8 hours agonew$2,759 per week
...of HIPAA regulations and DRG (Diagnosis Related Groups) is crucial. The role involves assessing patient needs and obtaining prior authorizations. Flexibility in scheduling is preferred, with weekend coverage required every Saturday. No requests for time off will be...Full timeContract workLocal areaShift workWeekend workCynet Health
Irvine, CA8 hours agonew$325k - $350k
...Center). Support Suite: Work with a dedicated team including MAs and Scribes who handle prescription prep, inbox tasks, and prior authorizations. Call Coverage: No Hospital Call. Physicians cover after-hours calls for their own patients only. Due to high...Full timePrivate practicePrivia Health, LLC
Atherton, CA18 days ago$2,400 - $2,600 per week
...services Collaborate with physicians, nurses, and social services to optimize patient outcomes Review benefits eligibility, prior authorizations, and admission criteria Maintain accurate documentation using Epic EMR Required Skills Case Management /...Full timeContract workLocal areaImmediate startShift workWeekend workDay shiftTravelNurseSource
Santa Monica, CA19 days ago$163.13k - $209.74k
...ongoing care. The position emphasizes longitudinal management with the goal of reducing readmissions, while also coordinating prior authorizations and serving as a clinical liaison with transplant centers as needed. ~ Full-time position, Monday to Friday schedule ~8...Full timeSummer workMonday to FridayShift workProvider Solutions & Development
Burbank, CA28 days ago$2,600 - $2,850 per week
...needs effectively Complete computerized documentation in Epic to maintain accurate, timely patient records Facilitate prior authorizations, needs assessments and orders for DME as part of discharge planning Communicate clearly with patients, families and payer...Full timeContract workImmediate startMonday to FridayShift workWeekend workDay shiftUnited Health Care Staffing, Inc.
Santa Monica, CA19 days ago- ...never be asked to manage or prescribe pain medication. Practice Medicine, Not Administration: Our cash-pay model means no prior authorizations and no fighting with insurance companies. Your time is dedicated to your patients. A Professional Environment: Our...Full timePart timeWork at officeLocal areaFlexible hours
AROmotion
Los Angeles, CA18 days ago $19.26 - $23 per hour
...The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization...Full timeCasual workWork from homeMonday to FridayShift workMDxHealth
Irvine, CA2 days ago$70k - $75k
...veteran status, gender identity, or sexual orientation. Applicants must be legally authorized to work in the United States. Recruitment agencies: All resumes submitted without prior HR authorization will be considered unsolicited. HDI Global Insurance Company participates...Temporary workWork at officeLocal areaFlexible hours- Infusionforhealth is seeking a Pharmacy Prior Authorization Specialist in Riverside, CA. This full-time role focuses on securing insurance approvals for specialty infusion medications. The ideal candidate will have at least 2 years of experience in infusion pharmacy and...Full time
$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...$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- ...providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary. Communicate... ...clinical care coordinator as needed. Actively participates in prior authorizations and utilization review for TMS, Spravato, and...Full timeWork at officeRelocation packageMonday to Friday
Discovery Behavioral Health
Los Angeles, CA2 days ago $21 per hour
...Looking For Strong customer service skills in a fast-paced or call center environment Experience with care coordination, prior authorization, and insurance/benefits verification High attention to detail with data entry (including Excel) Ability to multitask and...Contract workTemporary workTEKsystems
Glendale, CA8 days ago
