Join to apply for the Prior Authorization Specialist role at Infusion for Health 3 days ago Be among the first 25 applicants Join to apply for the Prior Authorization Specialist role at Infusion for Health This range is provided by Infusion for Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $22.00/hr - $27.00/hr 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. 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 The hourly pay range for this role is expected to be between $22-$26. Actual base pay could vary based on factors including but not limited to experience, subject matter expertise, geographic location where work will be performed, and the applicant's skill set. The base pay is just one component of the total compensation package for employees. Other rewards may include an annual cash bonus and a comprehensive benefits package Monday to Friday Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Infusion for Health by 2x Get notified about new Specialist jobs in Brea, CA . Los Angeles, CA $65,000.00-$78,000.00 1 month ago Creator & User Excellence Specialist - Customer Support - Los Angeles Los Angeles, CA $104,711.00-$192,533.00 2 weeks ago Los Angeles Metropolitan Area $6,584.00-$9,144.00 3 weeks ago Santa Ana, CA $57,000.00-$63,000.00 1 week ago Long Beach, CA $33,900.00-$148,900.00 1 year ago Sr. Parks & Recreation Specialist Series HR Coordinator-Human Resources-Fulltime-Days Los Angeles, CA $49,500.00-$71,500.00 1 month ago Santa Ana, CA $49,500.00-$71,500.00 1 month ago Los Angeles, CA $83,600.00-$192,533.00 10 hours ago Los Angeles Metropolitan Area 3 weeks ago Executive Assistant to the Vice President (Administrative Analyst/Specialist-Exempt II) Fullerton, CA $5,537.00-$10,014.00 4 days ago Irvine, CA $59,300.00-$86,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr Infusion for Health
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