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Prior Authorization Coordinator Jobs in Riverside, CA

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $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

$23 - $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

Intake Coordinator - Full-Time

Irvine, CA · On-site

$26 - $33/hr

Authorization Coordination * Determine prior authorization requirements based on payer guidelines and prescribed therapy. * Coordinate authorization requests with the Authorization Specialist and ...

Oso Home Care

Intake Coordinator - Full-Time

Irvine, CA · On-site

$26 - $33/hr

Authorization Coordination * Determine prior authorization requirements based on payer guidelines and prescribed therapy. * Coordinate authorization requests with the Authorization Specialist and ...

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Prior Authorization Coordinator information

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How much do prior authorization coordinator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization coordinator in Riverside, CA is $22.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $23.08 per hour, depending on experience, location, and employer.

What is a prior authorization coordinator?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

What are the key skills and qualifications needed to thrive as a prior authorization coordinator?

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

What are some common challenges faced by prior authorization coordinators, and how can they be managed effectively?

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.

What is the difference between Prior Authorization Coordinator vs Medical Billing Specialist?

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

Is prior authorization a stressful job?

Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.

What are the most commonly searched types of Prior Authorization jobs in Riverside, CA?

The most popular types of Prior Authorization jobs in Riverside, CA are:

What are popular job titles related to Prior Authorization Coordinator jobs in Riverside, CA?

For Prior Authorization Coordinator jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Coordinator jobs in Riverside, CA look for?

The top searched job categories for Prior Authorization Coordinator jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Prior Authorization Coordinator jobs?

Cities near Riverside, CA with the most Prior Authorization Coordinator job openings:

Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $46,257 per year, or $22.2 per hour.

Prior Authorization Coordinator

San Bernardino, CA • On-site

LSMA Management Inc
See more jobs at LSMA Management Incexternal

$26 - $29/hr

Full-time

Posted 14 days ago

Job description

JOB SUMMARY
The Prior Authorization Coordinator is responsible for supporting the Utilization Management department by facilitating the administrative components of the prior authorization process. This role ensures accurate data entry, eligibility verification, documentation management, and coordination between providers, health plans, and clinical staff. The Coordinator prepares authorization requests for clinical review, ensures completeness of documentation, and assists in maintaining compliance with regulatory, health plan, and organizational requirements. This position plays a critical role in supporting timely and accurate authorization processing to promote continuity of care and efficient utilization of healthcare services within a Managed Services Organization (MSO).
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School diploma or equivalent required.
Preferred: Medical Assistant diploma or Associate's degree in healthcare administration, business administration, or related field preferred.
Experience
Minimum: At least one year of administrative experience in a healthcare, medical office, MSO, IPA, or health plan environment. Basic knowledge of medical office procedures and managed care processes.
Preferred: Experience working in Utilization Management, Prior Authorization, Referral Management, or Medical Management within an MSO, IPA, medical group, or health plan. Knowledge of medical terminology. Experience with electronic medical records, utilization management systems, or authorization platforms. Familiarity with CPT, ICD-10, and HCPCS codes preferred. Experience supporting Medi-Cal, Medicare, or commercial managed care plans preferred.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
• Strong data entry skills with attention to detail and accuracy.
• Ability to manage multiple tasks and prioritize workload efficiently.
• Proficiency in Microsoft Office applications (Word, Excel, Outlook).
• Ability to learn and use electronic medical record and authorization systems.
• Strong verbal and written communication skills.
• Ability to communicate professionally with providers, health plans, and internal staff.
• Strong customer service skills with a service-oriented approach.
• Ability to review documentation for completeness and accuracy.
• Strong organizational and time management skills.
• Ability to work in a fast-paced, deadline-driven environment.
• Ability to maintain confidentiality and protect sensitive health information.
• Ability to work independently and collaboratively as part of a team.
• Strong attention to detail and commitment to quality.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Prolonged sitting, typing, and computer use. Occasional standing, walking, bending, and reaching. Ability to lift up to 20 pounds occasionally. Ability to concentrate and review detailed information for extended periods. Ability to manage multiple priorities and meet deadlines. Ability to perform repetitive tasks with a high degree of accuracy. Office-based work environment within an MSO or medical management setting. Frequent interaction with internal staff, providers, and health plans via phone and electronic communication. Low to moderate noise level typical of an office environment.
PAY RANGE
$26.00 - $29.00 / hourly
Salary Description
$26.00 - $29.00 / hourly

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