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Prior Authorization Specialist Jobs in Riverside, CA

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Authorization Specialist Position Summary Oso Home Care is seeking a detail-oriented, customer ... Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans ...

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

Authorization Specialist Position Summary Oso Home Care is seeking a detail-oriented, customer ... 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

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

Oso Home Care

Intake Coordinator - Full-Time

Irvine, CA · On-site

$26 - $33/hr

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

Oso Home Care

Reimbursement Specialist

Irvine, CA · On-site

$25 - $31/hr

The Home Infusion Biller works closely with Intake, Authorization Specialists, Benefits ... and prior authorization requirements. * Knowledge of medical terminology and infusion pharmacy ...

Oso Home Care

Reimbursement Specialist

Irvine, CA · On-site

$25 - $31/hr

The Home Infusion Biller works closely with Intake, Authorization Specialists, Benefits ... and prior authorization requirements. * Knowledge of medical terminology and infusion pharmacy ...

Oso Home Care

Major Medical Collector HYBRID

Irvine, CA · On-site

$21 - $33.15/hr

... prior authorization, and payer-specific reimbursement guidelines. The Major Medical Collector serves as a subject matter expert and collaborates closely with Intake, Authorization Specialists ...

Oso Home Care

Major Medical Collector HYBRID

Irvine, CA · On-site

$21 - $33.15/hr

... prior authorization, and payer-specific reimbursement guidelines. The Major Medical Collector serves as a subject matter expert and collaborates closely with Intake, Authorization Specialists ...

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

Prior Authorization Specialist information

See Riverside, CA salary details

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$21

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How much do prior authorization specialist jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for prior authorization specialist in Riverside, CA is $21.80, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.09 per hour, depending on experience, location, and employer.

What does a prior authorization specialist do?

A Prior Authorization Specialist is responsible for reviewing and processing requests for medical procedures, medications, or services that require approval from insurance companies before they are provided to patients. They communicate with healthcare providers, insurance companies, and patients to ensure all necessary documentation is submitted and that requirements are met. Their goal is to help secure timely approvals, prevent unnecessary denials, and support the overall healthcare process by making sure patients receive the care they need in accordance with insurance guidelines.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by a high school diploma or associate degree in a health-related field. Experience with electronic health record (EHR) systems, insurance verification software, and payer-specific authorization portals is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for navigating complex cases and collaborating with providers and insurers. These competencies ensure accurate, timely approvals and minimize delays in patient care.

What are common challenges faced by prior authorization specialists, and how are they addressed?

Prior Authorization Specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of authorization requests, and ensuring timely communication between healthcare providers and payers. To address these challenges, specialists leverage electronic health record systems, maintain up-to-date knowledge of payer guidelines, and work closely with clinical and administrative teams to gather necessary documentation. Effective time management and strong organizational skills are essential, as is building rapport with insurance representatives to help resolve issues quickly and minimize delays in patient care.

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

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

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

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

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

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

Prior Authorization Specialist jobs near you
Infographic showing various Prior Authorization Specialist job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $45,340 per year, or $21.8 per hour.

Prior Authorization Specialist

Infusion4Health Inc

Brea, CA • On-site

$23 - $27/hr

Full-time

Re-posted 10 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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