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Contract Insurance Prior Authorization Jobs in California

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$19.75 - $24.50/hr

Collaborates with MCO and Self-Insured client teams to understand PBM clients' prior authorization processing requirements and expectations. As appropriate for experience and career path level ...

OPN Healthcare

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Prior Authorization & Referral Coordinator

Glendale, CA · On-site

$18 - $22/hr

Insurance Verification: Determine the need for prior authorization based on insurance guidelines and verify patient eligibility. * Medical Records Review: Compile necessary medical documentation for ...

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All JobsContract Insurance Prior Authorization JobsContract Insurance Prior Authorization Jobs in California

Contract Insurance Prior Authorization information

What is the difference between Contract Insurance Prior Authorization vs Medical Insurance Claims Specialist?

AspectContract Insurance Prior AuthorizationMedical Insurance Claims Specialist
Primary RoleSecuring approval for specific procedures or treatments before serviceProcessing and managing insurance claims after services are rendered
Work EnvironmentHealthcare providers, insurance companies, or third-party administratorsHospitals, clinics, insurance companies, or claims processing centers
Required CredentialsKnowledge of insurance policies, healthcare regulations, often certifications in healthcare administrationUnderstanding of insurance billing, coding, and claims processing, often with certifications like CPC or CCS

Contract Insurance Prior Authorization involves obtaining approval before healthcare services, while Medical Insurance Claims Specialists handle post-service claims processing. Both roles require knowledge of insurance policies and healthcare regulations, but they focus on different stages of the insurance process.

What are the most commonly searched types of Insurance Prior Authorization jobs in California?

The most popular types of Insurance Prior Authorization jobs in California are:

What are popular job titles related to Contract Insurance Prior Authorization jobs in California?

For Contract Insurance Prior Authorization jobs in California, the most frequently searched job titles are:

What job categories do people searching Contract Insurance Prior Authorization jobs in California look for?

The top searched job categories for Contract Insurance Prior Authorization jobs in California are:

What cities in California are hiring for Contract Insurance Prior Authorization jobs?

Cities in California with the most Contract Insurance Prior Authorization job openings:

Contract Insurance Prior Authorization jobs near you
Infographic showing various Contract Insurance Prior Authorization job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Prior Authorization Specialist

Infusion4Health Inc

Brea, CA • On-site

$23 - $27/hr

Full-time

Re-posted 24 days ago

Job description

Prior Authorization Specialist
Job Description

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 rooms for our patients. Our mission is to provide exceptional service in the administration of infusion therapy in a comfortable, patient-focused environment by providing exemplary professional clinical care.

Our company is continuing to grow and we're looking to add a Prior Authorization Specialist to support our patient care operations department.

This is a full-time, 5 days a week position, onsite at our Brea HQ office.

Compensation: $23-$27/hr DOE + Benefits

Key Responsibilities:

  • Responsible for ensuring timely, accurate submission follow-up and approval of Authorizations. Work with urgency, high-quality and high communication with patients, insurance and additional stakeholders as needed.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present
  • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
  • Collaborate with other departments to assist in obtaining prior authorizations/appeals
  • Document all interactions with insurance companies or other stakeholders within the company system
  • Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile
  • Proactively work on prior authorizations that are due to be expired
  • Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
  • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
  • Other duties as assigned

Education and/or Experience Needed:

  • At least 2 years experience in infusion or pharmacy prior authorization is required
  • At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
  • Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow
  • Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
  • Intermediate level skills in Microsoft Excel & Word

Monday to Friday
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