- This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations.
- Determines deductibles, copayments, coinsurance, CPT and Diagnosis/Procedure Codes, Medical policies, LCD s and Medical terminology.
- Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization.
- Provide patient education of service benefits, status of pending or denied authorizations and for limited benefit coverage.
- Accurately enters insurance benefits and authorization information into patient accounts.
- Effectively working with insurance companies, with extensive amount of time on the telephone.
- Provide timely responses to voicemail and email inquiries to the verification team.
- Provide feedback to staff of patient benefits/authorization in a timely manner.
- Assist with submission appeals and follow up with unpaid claims.
- Create patients' statements.
- Performs other duties as assigned.
- We are looking for an individual with at least 1 year of knowledge and experience in Insurance benefits verification, Authorization requests, and referral requests for Medicare, PPO, HMO, and IPA insurances.
- Positive, caring attitude, and self-motivated to do whatever is necessary to provide.
- Outstanding patient service and do whatever is needed to ensure effective operations.
- Basic level skill in Microsoft Excel, Word, and outlook.
- Can multitask, prioritize, and manage time effectively.
- Have Impeccable attention to detail.
- Enjoys working both independently and collaboratively as part of a team.
- Open to learn and improve skills.
- High school diploma is required.
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Authorization Specialist
2 weeks ago
A-Line Staffing Solutions Los Angeles, United StatesJob Description · Job DescriptionA-Line Staffing is now hiring an Remote Authorization Specialist. The Authorization Specialist would be working for a major company and has career growth potential This would be full time / 40+ hours per week · If you are interested in this Author ...
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Clinical Authorization Specialist
3 weeks ago
University of Southern California Los Angeles, United States Full timeThe Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned se ...
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Clinical Authorization Specialist
4 days ago
University of Southern California Los Angeles, United States Full timeThe Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treat Clinical, Authorization, Spec ...
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Authorization Specialist
2 weeks ago
A-Line Staffing Solutions Los Angeles, United StatesJob Description · Job DescriptionA-Line Staffing is now hiring an Authorization Specialist in California. This would be full time / 40+ hours per week. · If you are interested in this Authorization Specialist position, please contact Melissa Ortiz at · Authorization Specialist C ...
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Prior Authorization Specialist
2 weeks ago
A-Line Staffing Solutions Los Angeles, United StatesJob Description · Job DescriptionA-Line Staffing is now hiring a remote Prior Authorization Specialist with a major health plan company. This would be full time / 40+ hours per week. · Prior Authorization Specialist Compensation · The pay for this position is $23 per hour · Benef ...
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Eligibility and Authorization Specialist
4 weeks ago
Regroup Los Angeles, United StatesResponsibilitiesThis role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations.Determines deductibles, copayments, coinsurance, CPT and Diagnosis/Procedure Codes, Medical policies, LCD s and Medical ...
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Clinical Authorization Specialist
2 weeks ago
Keck Medical Center of USC Los Angeles, United StatesThe Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned se ...
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Eligibility and Authorization Specialist
2 weeks ago
Choice Health Group Los Angeles, United StatesJob Description · Job Description Salary: $20-$24 DOE · Responsibilities · This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations. · Determines deductibles, copayments, coinsurance, CPT and ...
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Eligibility & Authorization Specialist
6 days ago
Choice Health Group Los Angeles, United StatesThe Doctor's Choice is a licensed Home Health Services agency that provides a full range of in-home medical, rehabilitative, custodial, and companionship services to individuals and families throughout Los Angeles County. Whether you or a loved one is in need of medical care, hou ...
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Eligibility and Authorization Specialist
3 weeks ago
Choice Health Group Los Angeles, United States**Responsibilities** · - This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations. · - Determines deductibles, copayments, coinsurance, CPT and Diagnosis/Procedure Codes, Medical policies, LCD ...
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Authorization specialist
6 days ago
Randstad Woodland Hills, United StatesA trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist. This is a remote opportunity, but MUST be located near Woodland Hills, CA or Sacramento, CA to come in for occassional team meetings. Schedule is Tuesday - Saturday 8 a.m. - 5 p.m ...
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Eligibility and Authorization Specialist
2 days ago
GrandCare Health Services Pasadena, United StatesJob Description · Job DescriptionGrandCare Health Services is a physician-trusted leader in post-surgical rehabilitation delivered in the comfort of patients' own homes. We are recognized by the Centers for Medicare and Medicaid Services as a 5-Star agency, placing us in the top ...
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Eligibility and Authorization Specialist
3 days ago
GrandCare Health Services Pasadena, United StatesGrandCare Health Services is a physician-trusted leader in post-surgical rehabilitation delivered in the comfort of patients' own homes. We are recognized by the Centers for Medicare and Medicaid Services as a 5-Star agency, placing us in the top 10% nationally. Our experienced c ...
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Prior Authorization Specialist
1 week ago
PhyNet Dermatology LLC Orange, United StatesThe Prior Authorization Specialist is responsible for obtaining prior authorizations for all required procedures and maintaining accurate and timely record-keeping of all related documents and actions. · ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each e ...
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Authorization Specialist
3 weeks ago
REGAL MEDICAL GROUP, INC Northridge, United States**Essential Duties and Responsibilities include the following**: · - "First line" resource for inpatient inquiries. · - Responsible for compiling coordinator audit questionnaires. · - Reflecting current processes and will be responsible for updating and maintaining the questionna ...
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Prior Authorization Specialist
1 week ago
California Cardiovascular Care Pasadena, United StatesApplicant must be available to work 30 hours per week in person at the Pasadena office but may occasionally have to go to the Glendora office. You must have **one** years of experience in both billing and authorizations. Must be able to work as a team with three other billers, me ...
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Prior Authorization Specialist
2 weeks ago
Infusion4Health Inc Brea, United StatesInfusion 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 rooms for our patients. Our mission is to p ...
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Prior Authorization Specialist 25/HOUR
2 weeks ago
Aston Carter Northridge, United States Contract to RegularEntry Level · NO COVID VACCINE REQUIRED · 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 complex prior authorization question ...
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Prior Authorization Specialist- Infusion Therapy
2 weeks ago
Raymond Douglas MD PhD Santa Clarita, United StatesPrior Authorization/ Claim Follow-Up Coordinator · - Obtain new patient referral information from our referring providers or patients on a daily basis. · - Verify insurance coverage for the therapy being prescribed from primary, secondary, or tertiary payers. · - Confirm patient ...
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Kern County Superintendent of Schools Los Angeles County, United States Full timeBachelor's degree from an accredited college or university. Possession of a valid Education Specialist Instruction credential in Mild/Moderate Disabilities with an English Learner Authorization issued by the California Commission on Teacher Credentialing is required. · Copy of T ...
Eligibility and Authorization Specialist - Los Angeles, United States - Choice Health Group
Description
Job Description
Job DescriptionSalary: $20-$24 DOEResponsibilities
Qualifications
Eligibility and Authorization Specialist professionals in Los Angeles
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Bryan Johnson
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Jessica Buckley
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China Ruiz
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