Average salary: $83,663 /yearly
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- ...Degree License to practice in California must be in progress prior to the start date Five years experience as a practicing... ...physician with knowledge of managed care and the process for prior authorization review Knowledge of physician social and political behavior...SuggestedFull time
Vivo HealthStaff
San Diego, CA15 days ago $250k - $300k
...Fernando Valley and be available for occasional on-site meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-effective,...SuggestedLive inRemote workInspire Healthcare
Los Angeles, CAa month ago- Insurance Verification & Authorization Verify patient eligibility, benefits, coverage limitations, deductibles, co‑insurance, and out‑of‑pocket responsibilities prior to date of service. Obtain and validate prior authorizations and referrals in compliance with payer...SuggestedLocal area
$136.9k - $163k
...preferred.* A minimum of five years underwriting experience with authority* A genuine excitement to not only meet, but exceed, our... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal area$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- ...Job Summary Our client is seeking an Administrative Coordinator to manage administrative tasks, especially focusing on prior authorizations, referrals, and communications with insurance companies and pharmacies. The position requires skills in managing patient follow-...SuggestedTemporary workLocal areaMonday to FridayShift work
Medix
Santa Monica, CA3 days ago $400k
...brain injuries and musculoskeletal conditions. This outpatient-only role offers complete clinical autonomy, no call, and zero prior authorization hassles. Physicians are supported by a robust interdisciplinary team including psychiatry, neuropsychology, speech therapy,...SuggestedLive inFlexible hoursNight shiftPacific Companies
Sacramento, CA8 days ago- ...and be proficient in Microsoft Office Suite. Weekend and holiday availability is required. This role plays a critical part in ensuring a smooth patient admission process, combined with the ability to obtain prior authorizations effectively. #J-18808-Ljbffr UCLA HealthSuggestedDaily paidWork at officeWeekend work
- PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts. About the Company Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software Therapy Deployment...SuggestedFull timeWork at officeRemote workMonday to FridayShift work
$151k - $181.25k
...direction, adjudicate Garage Bodily Injury claims at the highest authority limits on assignments reflecting the highest degree of... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgo Group
Los Angeles, CA1 day ago$24 - $25 per hour
...established gastroenterology practice in Berkeley, CA seeking an experienced Medical Insurance Authorization Specialist to join our team. This role is essential to ensuring timely prior authorizations and effective coordination between patients, providers, and insurance...SuggestedHourly payFull timeMonday to Friday- Medix: Prior Authorization Specialist - 250685 Schedule: Monday-Friday, 8:00 AM - 5:00 PM Position Summary The Prior Authorization Specialist is responsible for coordinating and managing authorization requests to ensure timely approval of diagnostic and treatment services...SuggestedMonday to Friday
$61.79 - $79.91 per hour
A prominent health organization is seeking a UM Review Nurse to ensure high-quality care through clinical review of authorization requests. This role involves applying clinical judgment and compliance standards while collaborating with medical teams. Ideal candidates should...SuggestedHourly pay$64.88 - $83.91 per hour
...leading healthcare institution in Los Angeles seeks a Utilization Management Review Nurse to evaluate clinical documentation for prior authorization requests and provide guidance on medical necessity standards. Candidates must possess a BSN/MSN, California RN license, and...SuggestedHourly pay- ...healthcare provider organization in Rancho Cucamonga is seeking a full-time Referral Coordinator to manage patient referrals and prior authorizations. The candidate should have a high school diploma and at least one year of experience. Responsibilities include tracking...SuggestedFull timeMonday to Friday
$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 checking eligibility for medical procedures and services...Hourly payFull timeWork at office- ...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 team....Full timeTemporary workPart timeShift work
Polaris Pharmacy Services
Covina, CA12 hours ago $30.37 - $59.21 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...Hourly payWork experience placementWork at officeMolina Healthcare
Bakersfield, CA3 days ago- A leading healthcare provider in San Diego seeks a detail-oriented Prior Authorization Specialist to manage scheduling, inventory, and authorizations. The role demands strong organizational skills and knowledge in healthcare billing practices. The successful candidate will...Hourly pay
$19 - $25 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...Hourly payDaily paidLocal areaFacile
Los Angeles, CA2 days 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, CA12 hours ago - ...adjust therapy as necessary. Manage patient communications, including portal messages and results follow-up. Coordinate prior authorizations and appeals for obesity medications. Collaborate effectively with interdisciplinary team members. Contribute to the...Full time
Cedars-Sinai
Los Angeles, CA2 days ago $23 - $25 per hour
...Essential Duties and Responsibilities include the following: Understand and execute the principles of Prior Authorization to facilitate the right care at the right time in the right setting. Perform all assistant and coordinator job functions. Able to solve...Hourly payFull timeCasual workWork at officeImmediate startRelocation packageFlexible hoursRegal Medical Group
San Bernardino, CA3 days ago- ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...
Hire Talent
San Jose, CA2 days ago - ...medical history, demographics, current condition, documentation. Verify insurance coverage, Medicare / Medicaid eligibility, prior authorizations as needed. Enter referral and patient data into EMR and maintain accurate documentation. Coordinate with clinical...Work at office
Prudential Healthcare
Cerritos, CA1 day ago $58 - $63.79 per hour
...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...Full timeContract workLocal areaCherokee Federal
Fairfield, CA2 days ago$400k
...hospitalist Ability to work in person Job Highlights: ~ No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management Compensation & Benefits: ~$400,000 guaranteed plus incentives ~...Relocation packageCURAtive
Lancaster, CA2 days ago- ...Job Description Pay 22-24/h The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...
Planet Pharma
Roseville, CA2 days ago $60.55k
...program. BART or BLS at time of hire with commitment to get BART within six (6) months of hire date. Experience with prior authorization for Medications. Knowledge of medical terminology, universal precautions, and proper use of body mechanics....Hourly payDaily paidUniversity of California
San Diego, CA1 day 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, CA3 days ago
