Healthcare Referral/Prior Authorization Specialist

Wollborg Michelson Recruiting does require all applicants to be able to provide proof that they are fully vaccinated from COVID prior to their start date, unless otherwise prohibited by law.

As a Referrals Specialist, you will assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

Location: Woodland Hills, CA (temporarily remote)

Hours: Various hours - MUST be flexible!

**Contract to Hire Opportunity**

Job Responsibilities:

Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.
Route to appropriate staff when needed.
Verify eligibility and benefits.
Answer phone queues and process faxes within established standards.
Data enters authorizations into the system.

Education/Experience:

High school diploma or equivalent.

Knowledge of medical terminology preferred.

Call center/Medi-Cal experience strongly preferred.

2+ years of experience.

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.