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Prior Authorization Jobs in Riverside, CA (NOW HIRING)

Healthcare Support Staffing

Pharmacy Technician

Irvine, CA

$18.75 - $22.75/hr

Take incoming requests for prior authorizations, for formulary and non-formulary medications, while ensuring a high level of customer service and maximizing productivity * Answer prior authorization ...

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 ...

MCKESSON

Field Reimbursement Manager

Anaheim, CA · On-site +1

Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures ...

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 ...

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 ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Riverside, CA

Prior Authorization information

See Riverside, CA salary details

$14

$21

$33

How much do prior authorization jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization 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 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 strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

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

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs
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 jobs in Riverside, CA? For Prior Authorization jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Riverside, CA look for? The top searched job categories for Prior Authorization jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Prior Authorization jobs? Cities near Riverside, CA with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Riverside, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $45,340 per year, or $21.8 per hour.

Patient Access Coordinator

North American Staffing Group

Anaheim, CA

$20/hr

Full-time

Re-posted 17 days ago

Job description


Medica Talent Group is excited to share this opportunity with you!
Our client, a well-known and reputable Healthcare Organization, is seeking a Patient Access Coordinator to join their team in Anaheim, CA.

Schedule: Monday to Friday, 8 AM – 5 PM (Full-time)
Assignment Length: Long Term. Temp–to–Hire!
Location: Anaheim, CA
Starting Pay: $20/HR

Qualifications -MUST HAVES (This must reflect on your resume to be considered)
  • 1. High school Diploma (Associate or Certified Medical Assistant preferred)
  • 2. A minimum of 1 year of call center (CSR) experience is required
  • 3. 2 years of experience working in a medical/healthcare environment is required
  • 4. 1 year of referral and authorization processing experience is required
  • 5. Medical billing code knowledge is required
  • 6. EMR system usage is highly preferred
Job Description
Under the supervision of the Quality Improvement Team Leader, the Patient Access Coordinator is responsible for all aspects of the authorization process. Responsibilities include collecting all necessary documentation, contacting the referring provider office for additional information and completion of the required prior authorization form in order to proceed with the request. The Authorization Specialist will work closely with the clinical staff, claims and billing departments. Must display excellent communication, organization and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgement as well as attention to detail.