Prior Authorization Specialist

3 weeks ago

Pasadena, United States California Cardiovascular Care Full time

Applicant must be available to work 30 hours per week in person at the Pasadena office but may occasionally have to go to the Glendora office. You must have **one** years of experience in both billing and authorizations. Must be able to work as a team with three other billers, meet each week and be accountable for progress.
- Must accurately complete Eligibility Verification, Authorization requests/follow-up, and correct insurance data entry to ensure timely payment reimbursement.
- May have to occationally go to Glendora office but the job is based in Pasadena.
- Responsible for processing and verifying insurance requests accurately, in a timely manner.
- Responsible for adding correct insurance information.
- Communicating effectively with various Health Plans and Insurance companies.
- Communicating effectively, providing courtesy and clear communication with external and internal staff.
- Excellent Customer Service Skills - Occasional Patient communication.
- Assisting with re-verification.
- Weekly reporting of stats.
- Demonstrate honesty and integrity in everyday activities.
- Experience in detecting eligibility discrepancies.
- Good communication and phone skills.
- Generates revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts.
- Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
- Maintains Medicare bad-debt cost report by tracking billings, monitoring collections, and compiling information.
- Maintains work operations by following policies and procedures and reporting compliance issues.
- Maintains quality results by following standards.
- Protects clinic’s/hospital’s value by keeping collection information confidential.
- Updates job knowledge by participating in educational opportunities.
- Serves and protects the clinical community by adhering to professional standards, hospital or clinic policies and procedures, federal, state, and local requirements and standards.
- Enhances billing department and practice reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

Education, Experience, and Licensing Requirements:

- High school diploma
- University/college degree or experience in medical records, claims, or billing areas is an asset.
- Minimum 1 years of previous medical office experience preferred

Please attach your resume with your current address and phone. The first interview will be on zoom or facetime.

Pay: $17.00 - $22.00 per hour

**Benefits**:

- Paid time off

Weekly day range:

- Monday to Friday

**Experience**:

- Medical billing: 1 year (required)
- Cardiology office: 1 year (preferred)
- Authorization: 1 year (required)

Work Location: In person

  • Eligibility and Authorization Specialist

    4 weeks ago

    Pasadena, United States GrandCare Health Services Full time

    Job DescriptionJob DescriptionGrandCare Health Services is a physician-trusted leader in post-surgical rehabilitation delivered in the comfort of patients’ own homes. We are recognized by the Centers for Medicare and Medicaid Services as a 5-Star agency, placing us in the top 10% nationally. Our experienced clinicians collaborate closely with patients’...

  • Eligibility and Authorization Specialist

    2 weeks ago

    Pasadena, United States GrandCare Health Services Full time

    GrandCare Health Services is a physician-trusted leader in post-surgical rehabilitation delivered in the comfort of patients’ own homes. We are recognized by the Centers for Medicare and Medicaid Services as a 5-Star agency, placing us in the top 10% nationally. Our experienced clinicians collaborate closely with patients’ physicians to develop a...

  • Eligibility and Authorization Specialist

    1 week ago

    Pasadena, United States GrandCare Health Services Full time

    Job DescriptionJob DescriptionGrandCare Health Services is a physician-trusted leader in post-surgical rehabilitation delivered in the comfort of patients’ own homes. We are recognized by the Centers for Medicare and Medicaid Services as a 5-Star agency, placing us in the top 10% nationally. Our experienced clinicians collaborate closely with patients’...

  • Control System Specialist

    2 weeks ago

    Pasadena, United States CONTECH CONTROL SERVICES Full time

    Control Systems Specialist Embedded in Pasadena, TX Contech Control Services is seeking team-oriented professionals who have hands-on knowledge of Distributive Control Systems (DCS), specifically Emerson DeltaV configuration, graphics, system architecture, and logic programming of plant control systems. Primary Duties and Responsibilities: The Control...

  • Benefits Specialist

    1 month ago

    Pasadena, United States Tetra Tech Full time

    Discover your full potential. At Tetra Tech, we are collaborating with industry-leading experts for a sustainable future for our world. We combine consulting and engineering with advanced analytics and technology to solve the world’s most complex challenges. Our innovation hubs across the globe will enable you to share ideas and best practices while...

  • Control System Specialist

    2 weeks ago

    Pasadena, United States CONTECH CONTROL SERVICES Full time

    Control Systems Specialist Embedded in Pasadena, TX Contech Control Services is seeking team-oriented professionals who have hands-on knowledge of Distributive Control Systems (DCS), specifically Emerson DeltaV configuration, graphics, system architecture, and logic programming of plant control systems. Is this the next step in your career Find out if you...

  • Control System Specialist

    4 weeks ago

    Pasadena, United States CONTECH CONTROL SERVICES Full time

    Control Systems Specialist Embedded in Pasadena, TX Contech Control Services is seeking team-oriented professionals who have hands-on knowledge of Distributive Control Systems (DCS), specifically Emerson DeltaV configuration, graphics, system architecture, and logic programming of plant control systems.Primary Duties and Responsibilities:The Control System...

  • Control System Specialist

    4 weeks ago

    Pasadena, United States CONTECH CONTROL SERVICES Full time

    Control Systems Specialist Embedded in Pasadena, TX Contech Control Services is seeking team-oriented professionals who have hands-on knowledge of Distributive Control Systems (DCS), specifically Emerson DeltaV configuration, graphics, system architecture, and logic programming of plant control systems.Primary Duties and Responsibilities:The Control System...

  • Seasonal Repair Specialist

    1 month ago

    Pasadena, United States Safelite Group, Inc. Full time

    The **Seasonal Repair Specialist**, which we hire seasonally, performs vehicle glass repairs whenever a glass replacement is not required. Our paid, formal training program teaches everything needed to complete these specialized repairs, regardless of any prior mechanical experience. **It's Great for recent high school grads & college students!!** What...

  • Document Control and Training Specialist

    1 week ago

    Pasadena, United States Manufacturing Full time

    Job DescriptionJob DescriptionDocument Control and Training SpecialistOur client, a major manufacturer of Chemicals and Fertilizer is seeking their Document Control and Training Specialist to join their team in Pasadena, Texas.General Responsibilities:System Administrator of plant electronic documentation and data management systems. SharePointadministration...

  • Document Control and Training Specialist

    1 week ago

    Pasadena, United States Manufacturing Full time

    Job DescriptionJob DescriptionDocument Control and Training SpecialistOur client, a major manufacturer of Chemicals and Fertilizer is seeking their Document Control and Training Specialist to join their team in Pasadena, Texas.General Responsibilities:System Administrator of plant electronic documentation and data management systems. SharePointadministration...

  • Document Control and Training Specialist

    2 weeks ago

    Pasadena, United States Razzino Associates, Inc. Full time $80,000 - $85,000

    Document Control and Training SpecialistOur client, a major manufacturer of Chemicals and Fertilizer is seeking their Document Control and Training Specialist to join their team in Pasadena, Texas.General Responsibilities:System Administrator of plant electronic documentation and data management systems. SharePoint administration and maintenance of all...

  • Expeditor / Inventory Specialist (Oracle)

    1 month ago

    Pasadena, United States Columbususa Full time

    **Expeditor / Inventory Specialist (Oracle)** CAROUSEL_PARAGRAPH * Pasadena, California * Logistics * None * Permanent Resident, U.S. Citizen * 2596 ** Share Job** ** Job Description** **Overview** Must be a US Citizen or Green Card Holder W2 Contract Position COVID19: Must be fully vaccinated and provide valid proof of a completed COVID19 vaccination prior...

  • Payroll Specialist IV

    4 days ago

    Pasadena, United States Kaiser Permanente Full time

    Job Summary: Ensures the completion of employee payments, reclamation, and garnishment orders by supporting the distribution of employee payments and exercising judgment issuing or reissuing replacement checks and payment reclamation orders. Conducts routine and nonroutine data uploads. Addresses employee inquiries and internal reporting efforts by...

  • Camp Health and Behavioral Specialist

    1 week ago

    Pasadena, United States YMCA Maryland Full time

    Overwhelmingly, people who decide they want to be a part of the Y in Central Maryland tell us they do so because it reflects their values and a conscious decision, they've made about how they choose to live their lives. The happiest and most fulfilled Y associates are those who are motivated to help others and who want to be a part of something larger than...

  • Business Development Sales Specialist

    2 weeks ago

    Pasadena, United States Excomweb Full time

    Expatiate Communications Business Development Sales Specialist Pasadena, CA·Full time Apply for Business Development Sales Specialist Expatiate Communications is a boutique management consulting firm with unmatched expertise in special education. We deliver innovative solutions for the most challenging and complex special education issues facing school...

  • CDL Driver

    5 days ago

    Pasadena, California, United States SRS Building Products - Pasadena Full time

    Local CDL A or Local CDL B Driver w/ Knuckleboom or w/ Crane Certification We are committed to the personal and professional growth of our team members and we show this by having a clear path of advancement for our Drivers with on-the-job and web-based training for you to move up as a Driver or other positions within the branch. You are also rewarded for...

  • CDL Driver

    4 days ago

    Pasadena, United States SRS Building Products - Pasadena Full time

    Local CDL A or Local CDL B Driver w/ Knuckleboom or w/ Crane Certification We are committed to the personal and professional growth of our team members and we show this by having a clear path of advancement for our Drivers with on-the-job and web-based training for you to move up as a Driver or other positions within the branch.  You are also rewarded for...

  • Ob/gyn Receptionist/medical Assistant

    2 weeks ago

    Pasadena, United States The OB-GYN and Incontinence Center Full time

    Job Overview: We are a growing Woman's Health (Gyn) clinic specializing in General Gynecology, Urogynecology (Incontinence and Prolapse), and Medical Aesthetics. We have an immediate need for an experienced and excellent front-office receptionist with back-office Medical assisting experience. Willing to work in our Arcadia and Glendale locations as...

  • Behavioral Specialist

    4 weeks ago

    Pasadena, United States Optima Family Services, Inc Full time

    **Direct Behavior Interventionist** At Optima Family Services, Inc. our mission is to provide exceptional, safe, and interactive infant stimulation, early therapeutic services, and behavioral services to our clients and their families in need. Our Applied Behavior Analysis program was designed with the goal to increase socially significant behavior and...