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Intake Prior Authorization Jobs in California (NOW HIRING)

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$21 - $25.90/hr

This position works closely with Intake Coordinators, Benefits Verification Specialists ... Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans ...

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$21 - $25.90/hr

This position works closely with Intake Coordinators, Benefits Verification Specialists ... Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans ...

Oso Home Care

Director of Infusion Intake

Irvine, CA · On-site

$80K - $120K/yr

This position is responsible for leading all Intake, Benefits Investigation, Insurance Verification, Prior Authorization, Financial Clearance, Referral Management, and Patient Access activities while ...

Oso Home Care

Director of Infusion Intake

Irvine, CA · On-site

$80K - $120K/yr

This position is responsible for leading all Intake, Benefits Investigation, Insurance Verification, Prior Authorization, Financial Clearance, Referral Management, and Patient Access activities while ...

Specialty Care Rx

Intake Specialist

Walnut, CA · On-site

$18.50 - $24.75/hr

... authorization status of insured prior to service being provided. 4. Ensures compliance with local and federal regulations, accreditation standards and corporate policies to drive effectiveness and ...

Retina-Vitreous Associates Medical Group

Be Seen First

Authorization Manager

Pasadena, CA · On-site

$55K - $60K/yr

The Authorization Manager will review and assess prior authorization request process for medical ... intake processes. The Authorizations Manager will monitor all departmental processes, ensuring and ...

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Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an intake prior authorization specialist?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an intake prior authorization specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an intake prior authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in California? For Intake Prior Authorization jobs in California, the most frequently searched job titles are:
What job categories do people searching Intake Prior Authorization jobs in California look for? The top searched job categories for Intake Prior Authorization jobs in California are:
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Intake Prior Authorization jobs near you

Prior Authorization Coordinator

Vivo HealthStaff

San Francisco, CA • On-site

$100K - $120K/yr

Full-time

Re-posted 16 days ago

Job description

Our client is a fast-growing healthcare technology company building AI-driven software to reduce administrative complexity in the healthcare system. Their end-to-end platform empowers clinician entrepreneurs to launch, operate, and scale independent practices by pairing modern automation with robust operational infrastructure. Backed by more than $200M from top-tier investors, the company is transforming how providers manage their practices and deliver care.Role OverviewThe client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to complexity, driving efficiency, and building systems that scale.The Prior Authorizations Lead will own the full authorization lifecycle-from intake and submission to payer follow-up and resolution-ensuring fast turnaround times and exceptional provider experience. The role requires a strategic, hands-on leader who can define workflows, streamline operations, and partner cross-functionally to leverage automation.Key ResponsibilitiesLead the end-to-end prior authorization process, including verification, documentation, submission, and payer follow-up.Build, optimize, and scale workflows to reduce turnaround times and increase authorization approval rates across multiple specialties.Partner with Product and Engineering to identify automation opportunities and develop tools that reduce manual work.Collaborate with RCM and Operations teams to ensure seamless handoffs across authorizations, billing, and care coordination.Develop and manage KPIs to track performance, identify operational bottlenecks, and drive continuous improvement.Train and manage internal team members and/or vendor partners to ensure consistent execution and compliance with payer guidelines.Maintain up-to-date knowledge of payer policies, clinical criteria, and regulatory changes that impact authorization processes.Build SOPs, playbooks, and documentation to support scaling into new states, payers, and clinical domains.QualificationsBachelor's degree required5–8 years of experience in healthcare operations, prior authorization management, or related RCM rolesDeep understanding of payer requirements, medical necessity standards, and authorization workflowsProven ability to lead cross-functional initiatives and manage high-volume operational processesAnalytical, systems-oriented thinker with a track record of improving turnaround times and accuracyExperience with automation tools or EMR/EHR integrations is a plusAbility to work fully in-person, 5 days per week, in San Francisco or New YorkCompensationEstimated Salary: $100,000–$140,000Total compensation may also include stock options. Final compensation will depend on experience, qualifications, and other relevant factors.
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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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