Job DetailsLevel: ExperiencedJob Location: 6125 Paseo Del Norte Ste 130 - Carlsbad, CA 92011Position Type: Full TimeSalary Range: $23.00 - $28.00 Hourly Responsibilities Submit and track prior authorization requests for: GI procedures Pain management services Imaging studies Urology and cardiology services as needed Verify insurance eligibility and benefits Obtain and document authorizations accurately and efficiently Follow up with insurance companies regarding pending, delayed, or denied requests Coordinate with physicians, clinical staff, and scheduling teams across multiple locations Maintain accurate documentation within the EMR system Ensure compliance with payer guidelines and company policies Assist with appeals, reconsiderations, and peer-to-peer coordination when necessary Prioritize urgent requests while maintaining high accuracy standards Utilize insurance and imaging/pre-certification portals to process and manage authorizations, including platforms such as Availity, RadMD, eviCore, Carelon/AIM, and other payer-specific portals Qualifications Minimum 3+ years of prior authorization experience in a medical setting Experience handling multiple specialties required Strong understanding of commercial insurance, Medicare, Medi-Cal, and managed care plans Knowledge of GI, pain management, imaging, urology, and cardiology authorizations preferred Familiarity with imaging and pre-certification insurance portals such as Availity, RadMD, eviCore, AIM/Carelon, and payer-specific portals Ability to manage authorizations for multiple clinic locations simultaneously Excellent organizational and time-management skills Strong verbal and written communication skills EMR/EHR experience required Ability to work independently and in a fast-paced environment #J-18808-Ljbffr
...& Sunday with an additional 2, or 3 days of grooming. Partial remote work. Passion for working with animals and a demonstrated ability... ...to handle and lift all breed sizes. Flexibility to work weekends, holidays, and occasional extended hours based on customer demand...
Requisition Number: 11733Pay Range: $16.32 - $27.18 per hourLocation: CHA Everett HospitalCategory: Service and TradeDepartment: Transporters EHJob Type: PT Less Than 20 HPWUnion Name: SEIU 1199Work Schedule: Various shifts, including weekend rotation and...
...on-going basis. Serves as a liaison between patients and medical staff for both internal and external services. Reviews patient... ...- At least 1 year of referral / authorizations experience - IPA/HMO experience - Cerner is highly preferred - Knowledge...
Dormont Manufacturing Co is seeking a Digital Project Manager to oversee the localization of websites and email communications for the Latin American and Canadian regions. The role requires excellent project management skills, as well as proficiency in HTML and CSS. You...
...This is a full time position. POSITION PURPOSE: Provides superior customer service. Sells products available at the fuel Center... ...combination of education and experience. Experience Level: Gas Station Attendant experience preferred; on-the-job training provided...