Authorization Specialist

2 weeks ago

Fresno, United States Compassionate Care Home Health Agency, LLC Full time
Job DescriptionJob DescriptionBenefits:
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Parental leave
  • Vision insurance


Are you looking for a place where you can make a genuine difference in peoples lives?

Search no further

Compassionate Care Home Health Agency has five office locations (Fresno, Visalia, Modesto, Merced, and Bakersfield) and services eight counties throughout the Central Valley (Stanislaus, Mariposa, Merced, Madera, Fresno, Tulare, Kings, and Kern) - and were growing fast Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource.

We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations.

Join us today and grow with us

We are currently seeking to fill the Authorization Specialist position in our Fresno office:

-Compensation:
-Hourly rate range: $19.00-$22.00/ hour (negotiable: based on experience, skill level, availability, etc).
-Salary option available, as well.
-Opportunity to accumulate overtime.

Your assigned duties will include:

1. Receive requests for prior authorizations and ensure that they are properly and closely monitored within company set standards
2. Review accuracy and completeness of information requested and ensure that all supporting documents are present
3. Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
4. Collaborate with other departments to assist in obtaining prior authorizations/appeals
5. Manage correspondence with insurance companies and internal customers as required
6. Document all interactions with insurance companies within pharmacy system
7. Document all prior authorization information including approval dates, billing units, procedure codes, and prior authorization number in patient profile
8. Review insurance denials and submit appeals (as permitted by payor)
9. Proactively work on prior authorizations that are due to be expired
10. Secure patients demographics and medical information by using discretion and ensuring that all procedures are in sync with HIPAA compliance and regulation
11. Conducts job responsibilities in accordance with the standards set out in the Companys 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
12. Provides quality service by enforcing quality and customer service standards.
13. Contributes to team effort by accomplishing related results as needed

All other tasks- when needed and as directed by your supervisor, Ms. Madison Rowell-Authorization Specialist Supervisor.

Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full time position:

Dynamic, fun, team-oriented work environment
Unparalleled company culture
Local company with soul
Countless growth and development opportunities
Flexible Schedules
Medical, dental and vision insurance
Mileage Reimbursement at current Federal rate
Gas reimbursement for those in company cars
PTO
Paid Holidays
Paid Sick Days
401K
And so much more

Compassionate Care was established in 2003 in Fresno County and has grown into Central California's most trusted home health agency. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience.

CompassionateCare.com

  • HIM Release of Information Legal Specialist, Medical Records

    2 weeks ago

    Fresno, United States Community Medical Centers Full time

    Responds to and coordinates timely responses to all legal release of information requests pursuant to Criminal, Civil and Administrative Subpoenas, search warrants, court orders and copy service authorizations. Reviews and validates all written reque Records, Legal, Medical, Specialist, Information, Release, Healthcare

  • IT Specialist

    1 month ago

    Fresno, California, United States Department Of The Treasury Full time

    Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA).Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION?A...

  • Patient Access Follow-Up Specialist, Admitting

    3 weeks ago

    Fresno, United States Community Medical Centers of Fresno, CA Full time

    Overview: *All positions are located in Fresno/Clovis CA* Community Medical Centers has been providing central California with the highest level of care available in the region. Community Regional Medical Center measures up with top hospitals nationally and is the 3rd largest in California! With 685 beds, we are home to the only comprehensive Burn and Level...

  • Liver Transplant Financial Services Specialist

    2 weeks ago

    Fresno, California, United States Cedars-Sinai Full time

    Job Description What you will be doing:The Financial Services Specialist provides financial support to the Liver Disease programs. Verifies eligibility and benefits to obtain insurance authorizations prior to all Transplant-related procedures, diagnostic tests, and physician consults. Assists with patient billing inquiries, and insurance denial and...

  • Liver Transplant Financial Services Specialist

    1 week ago

    Fresno, United States Cedars-Sinai Full time

    Job DescriptionAlign yourself with an organization with a reputation for excellence. Cedars-Sinai was awarded the National Research Corporations Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Companys Workplace of the Year. This recognizes hospitals and health systems...

  • 24-25 AY Temporary Faculty Pool

    4 weeks ago

    Fresno, United States Fresno State Full time

    Temporary Faculty Pool - University Coach (Supervisor): Education Specialist (ES) Credential Program Department Overview The Literacy, Early, Bilingual, and Special Education Department (LEBSE) offers courses for the preparation and professional development and advancement of Pre-K-12 teachers. At the preliminary credential level, the department...

  • Utilization Review and Intake Specialist

    3 weeks ago

    Fresno, United States My Time Recovery Full time

    Job DescriptionJob DescriptionSalary: DOEUtilization Review Specialist and Intake Coordinator Job Description  Conduct thorough reviews of client treatment plans to ensure alignment with established clinical guidelines, insurance requirements, and regulatory standards.Collaborate with the clinical team to gather and analyze relevant information for...

  • 24-25 AY Temporary Faculty Pool

    4 weeks ago

    Fresno, United States Fresno State Full time

    Temporary Faculty Pool - University Coach (Supervisor) – PK-3 ECE Specialist Instruction Credential Program Department Overview The Literacy, Early, Bilingual, and Special Education Department (LEBSE) offers courses for the preparation and professional development and advancement of Pre-K-12 teachers. At the preliminary credential level, the...

  • Patient Access Follow-Up Specialist, Admitting

    1 week ago

    Fresno, California, United States Community Medical Centers of Fresno, CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*   Community Medical Centers has been providing central California with the highest level of care available in the region. Community Regional Medical Center measures up with top hospitals nationally and is the 3rd largest in California! With 685 beds, we are home to the only comprehensive Burn and...

  • IT Specialist

    1 month ago

    Fresno, California, United States Department Of The Treasury Full time

    Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA). Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION?A...

  • Patient Access Specialist, Admitting

    3 weeks ago

    Fresno, California, United States Community Medical Centers of Fresno, CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*   At Community Medical Centers, we are motivated by the central purpose of our mission: “to improve the health status of the community”. We are dedicated to being ready for the worst so that those we serve can experience their best. As a Patient Access Specialist with the largest private...

  • Information Technology Specialist

    3 weeks ago

    Fresno, California, United States Department Of The Treasury Full time

    Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA)Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION?A...

  • Information Technology Specialist

    3 weeks ago

    Fresno, California, United States Department Of The Treasury Full time

    Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA). For information on the Recruitment Incentive please reference the Additional Information section of this announcement.Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT...

  • Printing Services Specialist

    3 weeks ago

    Fresno, United States Internal Revenue Service Full time

    Summary Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE WI - WAGE AND INVESTMENT DIVISION? A description of the business units can be found at: Vacancies will be filled in the following specialty areas: Media and Publications,...

  • Information Technology Specialist

    3 weeks ago

    Fresno, California, United States Department Of The Treasury Full time

    Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA). Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION?A...

  • PATIENT ACCESS SPECIALIST

    7 days ago

    Fresno, CA 93711, USA, United States OMNI FAMILY HEALTH Full time

    Title: Patient Access SpecialistJob Summary: Facilitates timely access to care by ensuring patient eligibility and benefits are verified prior to services. Works with health plans to transfer patients to Omni Family Health (OFH) and obtain prior authorization for services when required. Performs check out function and reconciles scheduled appointments with...

  • Residential House Cleaner

    3 weeks ago

    Fresno, United States Mini Mops Inc. Full time

    Job DescriptionJob DescriptionResidential House CleanerAre you looking for a rewarding opportunity to join a successful cleaning business? Join the family of Mini Mops! We are local, family owned and operated since 1975, and continue to provide exceptional customized cleaning services to homes while delivering peace of mind to our customers. Mini Mops Inc is...

  • Accounts Payable Speciaist

    3 weeks ago

    Fresno, California, United States Stardom Employment Consultants Full time

    Job Description: We are seeking a highly organized and detail-oriented Accounts Payable Specialist to join our finance team. The Accounts Payable Specialist will play a crucial role in managing the company's payable accounts, ensuring accuracy and efficiency in processing invoices and payments. The ideal candidate will have a strong understanding of...

  • Health System Specialist

    1 week ago

    Fresno, CA, 93650, Fresno County, CA, United States Veterans Health Administration Full time

    Summary **This is an open continuous announcement until June 14, 2024. Applications will be accepted on an ongoing basis and qualified candidates will be referred at regular intervals until the vacancy is filled. Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement. Candidates must meet...

  • Mental Health Clinical Director

    1 month ago

    Fresno, United States Z N D Residential Inc Full time

    Job DescriptionJob DescriptionDescription:JOB TITLE: CLINICAL DIRECTORReports To: CHIEF EXECUTIVE OFFICERSupervises: Mental Health Head of Service (HOS) Mental Health Clinicians, and Mental Health Rehabilitation Specialist (MHRS).Job Summary - Full-time (40+ hours per week) FLSA Status Non-ExemptThe Clinical Director develops, implements, and oversees Z.N.D....