Authorization Specialist

1 week ago


Corona, California, United States KPC Global MSO Full time
Job Summary

KPC Global MSO seeks a skilled Authorization Specialist to ensure timely verification and validation of authorizations for Commercial and Managed care inpatients and other services.

Key Responsibilities:

  • Verify and validate authorizations for Commercial and Managed care inpatients and other services.
  • Contact insurance companies to secure authorization.
  • Review discharged managed care patients for evidence of authorization entry.
  • Obtain missing authorizations within 3 business days of patient's discharge.
  • Check bill hold weekly for pending authorizations.
  • Assist with sending delinquent reviews and resending reviews not received by payors.
  • Communicate effectively with Case Management and other departments.
  • Maintain analysis of authorization issues by payer.
  • Report monthly summary for authorization issues to senior leadership.
  • Document all contacts and authorization information in the hospital system.
  • Follow established hospital policies and procedures.

Requirements:

  • Strong communication and interpersonal skills.
  • Ability to work in a fast-paced environment.
  • Knowledge of healthcare authorization processes.
  • Ability to analyze and resolve authorization issues.


  • Corona, California, United States KPC Global MSO Full time

    Job SummaryKPC Global MSO is seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services.Key ResponsibilitiesVerify and validate authorizations for all...


  • Corona, California, United States KPC Global MSO Full time

    Job SummaryWe are seeking a highly skilled Authorization Specialist to join our team at KPC Global MSO. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key Responsibilities:Ensure timely verification and...


  • Corona, California, United States KPC Global MSO Full time

    Job Summary:KPC Global MSO is seeking a skilled Authorization Specialist to join our team. In this role, you will be responsible for ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key Responsibilities:Verify and validate authorizations for all Commercial and Managed...


  • Corona, California, United States International Window Full time

    Job SummaryWe are seeking a skilled Manufacturing Specialist to operate and maintain manufacturing machinery and equipment. The ideal candidate will have previous experience in production, manufacturing, or related fields and be familiar with schematics and technical drawings.Key Responsibilities:Operate and maintain manufacturing machinery and...

  • Roofing Specialist

    2 weeks ago


    Corona, California, United States All Guard Roofing Inc Full time

    Job OverviewAll Guard Roofing Inc is seeking a skilled Roofing Specialist to join our team. As a key member of our crew, you will be responsible for installing and repairing roofs on residential properties.Key Responsibilities:Tear off and installation of composition shingle roofsTear off and installation of tile/clay roofsFamiliarity with GAF comp shingle...


  • Corona, California, United States DR FLORES DR YABAR DENTAL OFFICE Full time

    Job DescriptionWe are seeking a highly skilled Dental Billing Specialist to join our team at DR FLORES DR YABAR DENTAL OFFICE. The ideal candidate will have a strong background in dental billing, including experience with PPO insurance and Denti-Cal billing procedures.Responsibilities:Verify insurance coverage and benefits for patients, including PPO...


  • Corona, California, United States Corona Post Acute Full time

    Health Information SpecialistWe are seeking a detail-oriented and organized Health Information Specialist to join our team at Corona Post Acute. As a Health Information Specialist, you will play a critical role in maintaining accurate and up-to-date medical records for our patients.Responsibilities:Comply with all company and departmental policies and...


  • Corona, California, United States Corona Post Acute Full time

    Job Title: Health Information SpecialistWe are seeking a detail-oriented and organized Health Information Specialist to join our team at Corona Post Acute. As a Health Information Specialist, you will play a critical role in maintaining accurate and up-to-date medical records for our patients.Responsibilities:Comply with all company and departmental policies...


  • Corona, California, United States 3M Full time

    Job Description:Job Title: Electrical Systems SpecialistCollaborate with Innovative 3Mers Around the WorldAt 3M, we're committed to creating a workplace that's inclusive and diverse, where everyone can thrive. As an Electrical Systems Specialist, you'll have the opportunity to work with a talented team of professionals who share your passion for innovation...


  • Corona, California, United States Corona Post Acute Full time

    Job Title: Health Information SpecialistWe are seeking a highly skilled Health Information Specialist to join our team at Corona Post Acute. As a key member of our healthcare team, you will be responsible for maintaining accurate and up-to-date medical records in accordance with federal and state guidelines.Responsibilities:Comply with all company and...

  • Mortgage Underwriter

    2 weeks ago


    Corona, California, United States Paramount Residential Mortgage Group Full time

    Job Summary:We are seeking a highly skilled Mortgage Underwriter - Non-QM Specialist to join our team at Paramount Residential Mortgage Group. As a key member of our underwriting team, you will be responsible for reviewing and analyzing loan files to ensure compliance with company and investor guidelines.Responsibilities:Conduct thorough analysis of loan...


  • Corona, California, United States 3M Full time

    Job Description:ELECTRICAL SYSTEMS SPECIALISTCollaborate with Innovative 3Mers Around the WorldChoosing where to start and grow your career has a major impact on your professional and personal life, so it's equally important you know that the company that you choose to work at, and its leaders, will support and guide you.With a diversity of people, global...


  • Corona, California, United States Paramount Residential Mortgage Group Full time

    Job Description:At Paramount Residential Mortgage Group, we're seeking a highly skilled Senior Non-QM Mortgage Underwriter Specialist to join our team. As a key member of our underwriting team, you will be responsible for ensuring that all loan files are thoroughly analyzed and comply with company and investor guidelines.Responsibilities:Conduct a...


  • Corona, California, United States Hearing Healthcare Recruiters, LLC Full time

    Job OpportunityWe are seeking a highly motivated Audiologist to join our team in the Corona, Sun City, or Hemet, CA area. This is a full-time position with a competitive base salary and excellent benefits package.The ideal candidate will be licensed to dispense in California and have a strong passion for the hearing industry. As a Diagnostic Support...


  • Corona, California, United States Avista Senior Living Full time

    About Avista Senior LivingWe are a leading provider of senior living services, dedicated to delivering exceptional care and support to our residents. Our team is passionate about making a difference in the lives of our residents and their families.Job SummaryWe are seeking a compassionate and skilled Caregiver to join our team at our community in Corona, CA....


  • Corona, California, United States Visionaire Partners Full time

    Technical Support AnalystThis is an exciting opportunity for a skilled Technical Support Analyst to join Visionaire Partners, a dynamic organization where you can make a meaningful impact.Key Responsibilities:Triage and resolve technical issues related to hardware, software, and network difficultiesProvide exceptional customer service and communication...


  • Corona, California, United States 3M Full time

    Job Title: ElectricianJob Summary:3M is seeking an experienced Electrician to join our team. As an Electrician, you will be responsible for installing, maintaining, and repairing electrical systems and equipment. This is a critical role that requires strong technical skills, attention to detail, and the ability to work independently.Key...


  • Corona, California, United States California Psychcare, Inc. Full time

    Job Title: Behavior InterventionistWe are seeking a dedicated and compassionate Behavior Interventionist to join our team at 360 Behavioral Health. As a Behavior Interventionist, you will play a critical role in implementing behavioral health treatments for children with Autism Spectrum Disorder (ASD) and other developmental disabilities.Key...

  • Culinary Specialist

    2 weeks ago


    Corona, New York, United States Pollo Campero Full time

    Job SummaryWe are seeking a skilled Culinary Specialist to join our kitchen team at Pollo Campero. As a key member of our food preparation team, you will be responsible for producing high-quality food with precision and accuracy, while maintaining the highest standards of quality assurance and food safety.Key ResponsibilitiesMaintain effective communication...


  • Corona, United States Corona Post Acute Full time

    Health Information Specialist 2600 South Main Street, Corona, CA, USA per hour Hourly Part Time Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth? WHAT WE'RE ABOUT ...


  • Corona, New York, United States Kanaan Communications, LLC Full time

    Job Summary:We are seeking a skilled Wireless Integration Specialist to join our team at Kanaan Communications, LLC. As a key member of our team, you will be responsible for installing and maintaining OEM integration equipment at customer locations.Key Responsibilities:Install OEM integration equipment and Base Band Units (BBUs) at customer locationsMaintain...


  • Corona, New York, United States LMNOP HOLDINGS LLC Full time

    Job OverviewPosition: Event Planning SpecialistEmployment Type: Full-Time, SalariedCompany Overview: At LMNOP HOLDINGS LLC, we pride ourselves on being a premier experiential marketing firm dedicated to crafting, designing, and executing memorable brand engagements. With a legacy of excellence, we are recognized as a trailblazer in the events and branded...


  • Corona, New York, United States Infosys Limited Digital Full time

    About the Role:Infosys Limited Digital is seeking a Senior Client Partner to lead client interfaces within assigned accounts, collaborating with Group Managers to build account plans and manage client relationships based on those plans. The ideal candidate will handle a single account or part of a large account with a P&L of $50M+.Key Responsibilities:Client...