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Top Prior Authorization Companies Jobs in Riverside, CA

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

... companies, case managers, specialty pharmacies, nursing staff, and internal departments to ... Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans ...

Oso Home Care

Authorization Specialist

Irvine, CA · On-site

$23 - $25.90/hr

... companies, case managers, specialty pharmacies, nursing staff, and internal departments to ... Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans ...

Medix

PBM Biller

Irvine, CA · On-site

$25 - $27/hr

Must understand Prior Authorizations * Ability to manage the full life cycle of a prior ... top companies. As an award-winning career partner, Medix is committed to helping talent find ...

LWC, Inc.

Application Support

Santa Ana, CA · On-site

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 ...

LWC, Inc.

Application Support

Santa Ana, CA

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 ...

Healthcare Support Staffing

Pharmacy Technician

Irvine, CA · On-site

$18.75 - $22.75/hr

... with top providers in healthcare and can assure healthcare professionals they will receive fast ... Take incoming requests for prior authorizations, for formulary and non-formulary medications, while ...

Oso Home Care

Intake Coordinator - Full-Time

Irvine, CA · On-site

$26 - $33/hr

... companies, pharmacists, nurses, reimbursement staff, and patients to ensure referrals are processed ... Determine prior authorization requirements based on payer guidelines and prescribed therapy.

Oso Home Care

Intake Coordinator - Full-Time

Irvine, CA · On-site

$26 - $33/hr

... companies, pharmacists, nurses, reimbursement staff, and patients to ensure referrals are processed ... Determine prior authorization requirements based on payer guidelines and prescribed therapy.

RE Pharmacy

Intake Representative (IVIG)

Irvine, CA · On-site

$28 - $32/hr

... referrals sources, insurance companies and patients on each pending referral. Intake ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...

RE Pharmacy

Intake Representative (IVIG)

Irvine, CA · On-site

$40K - $46K/yr

... referrals sources, insurance companies and patients on each pending referral. Intake ... Obtain prior authorizations; initiate requests, follow up to provide additionally required ...

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Top Prior Authorization Companies information

See Riverside, CA salary details

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How much do top prior authorization companies jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for top prior authorization companies 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 is the difference between Top Prior Authorization Companies vs Medical Billing Specialists?

AspectTop Prior Authorization CompaniesMedical Billing Specialists
CredentialsVaries; often includes healthcare administration or insurance certificationsMedical billing or coding certifications, such as CPC or CCS
Work EnvironmentCorporate offices, healthcare facilities, remote teamsMedical offices, clinics, healthcare facilities
Industry UsageInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, healthcare practices
Primary FocusSecuring prior authorizations for procedures and treatmentsProcessing medical claims, coding, and billing

While Top Prior Authorization Companies focus on obtaining approvals for medical procedures, Medical Billing Specialists handle claims processing and coding. Both roles are essential in healthcare revenue cycle management but differ in responsibilities and work settings.

What are top prior authorization companies?

Top prior authorization companies are organizations that specialize in streamlining and managing the prior authorization process for healthcare providers and payers. These companies use technology and expert staff to handle the administrative work required to obtain approval from insurance companies before certain medical services, procedures, or medications are provided. By outsourcing this process, healthcare organizations can reduce delays, lower administrative costs, improve patient care, and increase approval rates. Some well-known companies in this sector include CoverMyMeds, Par8o, and Surescripts.

What are some typical challenges faced by professionals working at prior authorization companies, and how can they be addressed?

Professionals at prior authorization companies often face challenges such as managing high volumes of requests, keeping up with frequently changing payer requirements, and ensuring timely communication between healthcare providers and insurance companies. Addressing these challenges typically involves strong organizational skills, staying updated on the latest industry guidelines, and using advanced software tools to streamline workflow. Team collaboration and ongoing training also play key roles in overcoming these obstacles and maintaining efficiency.

What are the key skills and qualifications needed to thrive at a top prior authorization company, and why are they important?

To succeed at a top prior authorization company, you need a solid understanding of healthcare processes, insurance guidelines, and medical terminology, often supported by experience in medical billing or coding. Familiarity with prior authorization software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, excellent communication, and problem-solving skills help professionals navigate complex approval processes and collaborate with providers and payers. These competencies ensure efficient approvals, reduce errors, and support patient access to necessary care.
What are popular job titles related to Top Prior Authorization Companies jobs in Riverside, CA? For Top Prior Authorization Companies jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Top Prior Authorization Companies jobs in Riverside, CA look for? The top searched job categories for Top Prior Authorization Companies jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Top Prior Authorization Companies jobs? Cities near Riverside, CA with the most Top Prior Authorization Companies job openings:
Top Prior Authorization Companies jobs near you
Infographic showing various Top Prior Authorization Companies job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 18% Part Time, and 8% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% 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 19 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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