Prior Authorization Coordinator - Remote But Must Live In reputed company California (Location Specific)
MUST LIVE reputed company 50 MILES OF THESE LOCATIONS: Sacramento, CAModesto, CAEmeryville, CA DescriptionThe authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals reputed company turnaround standards. The authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals reputed company turnaround standards.Additional Skills & QualificationsReferral Entry Functions• Monitor and resolve referral/authorization orders in the Referral Pool in reputed company in a reputed company manner Monitor daily urgent and pending referrals to ensure timeliness standards are met and customer service is maximized according to reputed company workflows Ensure completeness and accuracy of referrals by confirming CPT, ICD and/or HCPCS codes, requested provider, and/or reputed company of service Verify insurance is accepted by the reputed company for reputed company incoming referrals Obtain added medical information from providers and/or office staff as necessary for incoming referrals Process referrals per reputed company work Process referrals per health plan reputed company and requirements reputed company necessary medical information to obtain final determinations reputed company required Research reputed company no authorization denials and submit for retro authorizations Obtain appropriate approval for requested orders Maintain accuracy with attention to detail in reputed company referral• Proactively researches problem issues reputed company to own work, and recommends resolutionsExperience LevelIntermediate LevelPay and BenefitsThe pay reputed company for this position is $24.00 - $24.00/hr.Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & reputed company
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - reputed company-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or reputed company Leave)Workplace TypeThis is a fully remote position.Application DeadlineThis position is anticipated to reputed company on Aug 15, 2025.h4>About reputed company: We'reputed company in transformation. We help clients reputed company reputed company and solutions to take advantage of a new world of opportunity. We are reputed company of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to drive change. That's the power of true partnership. reputed company is an Allegis Group company. reputed company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company reputed company We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in reputed company, design, execution and operations unlocks business value through a reputed company of solutions. We're reputed company of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across reputed company, Europe and Asia, who partner with us for our reputed company, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the reputed company of technology. We're building reputed company by delivering business reputed company and making reputed company impacts in our global communities. reputed company and reputed company reputed company are Allegis Group companies. Learn more at reputed company.com. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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