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Prior Authorization Coordinator Jobs in Riverside, CA

LWC, Inc.

Application Support

Santa Ana, CA · On-site

To provide production support for PAS - Prior Authorization System application which is a critical ... also coordination across multiple applications, data management and with PA Ops team. (2) ...

LWC, Inc.

Application Support

Santa Ana, CA · On-site

... also coordination across multiple applications, data management and with PA Ops team. (2) ... PAS - Prior Authorization System Is this person a sole contributor or part of a team? If so, please ...

Oso Home Care

Director of Infusion Intake

Irvine, CA · On-site

$80K - $120K/yr

Oversee Benefits Investigation, Insurance Verification, Prior Authorization, Financial Clearance, Referral Coordination, and Patient Admissions. * Ensure accurate documentation of patient ...

Oso Home Care

Director of Infusion Intake

Irvine, CA · On-site

$80K - $120K/yr

Oversee Benefits Investigation, Insurance Verification, Prior Authorization, Financial Clearance, Referral Coordination, and Patient Admissions. * Ensure accurate documentation of patient ...

Medix

Sleep Coordinator/Scheduler

Riverside, CA · On-site

$21 - $23/hr

Verify insurance eligibility and ensure required authorizations are obtained prior to appointments ... coordination experience. * Needs to have experience in the sleep apnea world and dealing with ...

MCKESSON

Field Reimbursement Manager

Anaheim, CA · On-site +1

Position will require travel, project management and/or account coordination based on client ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

RE Pharmacy

Intake Representative (IVIG)

Irvine, CA · On-site

$28 - $32/hr

Coordinates appointment of representative document with patient and physician office. * Completes status check with insurance company regarding receipt of prior authorization and appeal and approval ...

RE Pharmacy

Intake Representative (IVIG)

Irvine, CA

$28 - $32/hr

Coordinates appointment of representative document with patient and physician office. * Completes status check with insurance company regarding receipt of prior authorization and appeal and approval ...

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All JobsPrior Authorization JobsPrior Authorization Coordinator JobsPrior Authorization Coordinator Jobs in Riverside, CA

Prior Authorization Coordinator information

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How much do prior authorization coordinator jobs pay per hour?

As of Sep 3, 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 89% Full Time, and 11% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $46,257 per year, or $22.2 per hour.

Application Support

LWC, Inc.

Santa Ana, CA • On-site

Contractor

Re-posted 10 days ago

Job description

Job Description

Development/Application Support

Santa Ana CA

6 month Contract to hire

Job description:

(1) Critical business need for the role: To provide production support for PAS - Prior Authorization System application which is a critical business application as part of the PAS SSMO team. This includes incident management, availability management, problem management, capacity management for PAS and also coordination across multiple applications, data management and with PA Ops team.
(2) Significant contributions of role: Incident management, availability management, problem management, capacity management for PAS and also coordination across multiple applications, data management and with PA Ops team. Monitor correspondence flow to ensure those are in compliance with CMS and do not result in IREs.
(3) Impact to business if not filled: Impact to the NPS scores, potential impact to the Member and agent experiences
(4) Primary purpose of role: cost savings, revenue generating, compliance requirement, other (describe): Cost Avoidance
What Project/Projects will the candidate be working on while on assignment?
PAS - Prior Authorization System
Is this person a sole contributor or part of a team?
If so, please describe the team? (Name of team, size of team, etc.)
Part of the PAS SSMO team.
What are the top 5-10 responsibilities for this position? (Please be detailed as to what the candidate is expected to do or complete on a daily basis)
1. Coordination across multiple applications
2. Monitor Correspondences workflow to ensure those are in compliance with CMS regulations.
3. Incident Management
4. Problem Management
5. Availability Management
6. Quality Management

Thanks and Regards,

--

Madhavi Singh

Last Word Consulting Inc.

Contact: (201)957-1000 - Ext. 405| | Fax: (201)221-8004

Additional Information

All your information will be kept confidential according to EEO guidelines.

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