San Diego, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to medical directors (MDs ...
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
... authorization referral requests. Under general supervision, this position is responsible for ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
... authorization referral requests. Under general supervision, this position is responsible for ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
... authorization referral requests. Under general supervision, this position is responsible for ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
... authorization referral requests. Under general supervision, this position is responsible for ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Bakersfield, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Bakersfield, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Fresno, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
Fresno, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
This is a part-time 12-hours per week, 12 week, unpaid remote internship. If your availability is ... No prior experience is necessary, we're looking for people who are passionate about fighting ...
| Aspect | Internship Remote Prior Authorization | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically no formal credentials required; may include healthcare or insurance knowledge | Certification often preferred (e.g., CPC, CPC-H) |
| Work Environment | Remote, administrative setting, healthcare or insurance companies | Office or remote, healthcare facilities or billing companies |
| Employer & Industry | Hospitals, insurance companies, healthcare providers | Hospitals, clinics, billing service providers |
| Search & Comparison Intent | Understanding internship roles involving prior authorization processes | Learning about billing processes and insurance claim management |
Internship Remote Prior Authorization focuses on assisting with approval processes for healthcare services, often as a learning role. Medical Billing Specialists handle billing, coding, and insurance claims. While both roles involve healthcare administration, the internship is more educational and entry-level, whereas the billing specialist is a more experienced, operational position.
The most popular types of Remote Prior Authorization jobs in California are:
For Internship Remote Prior Authorization jobs in California, the most frequently searched job titles are:
The top searched job categories for Internship Remote Prior Authorization jobs in California are:
Cities in California with the most Internship Remote Prior Authorization job openings:
San Diego, CA • Remote
$30.37 - $59.21/hr
Full-time
Re-posted 14 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
165th of 309 rated insurance
JOB DESCRIPTION Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate 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 cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $30.37 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
