Medical Authorization Assistant

4 days ago


Orange, California, United States The Midtown Group Full time
Job Summary

The Midtown Group is seeking a highly motivated and experienced Medical Authorization Assistant to join our team. As a Medical Authorization Assistant, you will provide office and referral management support services, assist inpatient Medical Case Managers in obtaining medical records, document all case information in the system, perform data entry into appropriate databases for monitoring and tracking, and follow up on phone calls as directed by the Medical Case Managers.

Key Responsibilities:
  • Participate in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity, and accountability.
  • Receive inpatient requests via fax, phone, or electronically and enter data of new case information into the medical management system.
  • Create inpatient events based on facility face sheets and/or clinical received.
  • Verify member eligibility.
  • Collect additional information from members and/or providers/facilities to complete prospective, concurrent, or retrospective inpatient service reviews.
  • Authorize requested services according to Concurrent Review team guidelines.
  • Contact the health networks and/or the Customer Service department regarding health network enrollments.
  • Assist the inpatient Medical Case Manager in gathering medical records, obtaining appropriate coding for diagnosis and procedures, discharge dates, dispositions, and conduct follow-up phone calls per concurrent review team standards.
Requirements:
  • High School diploma or equivalent required.
  • 2 years of experience in a healthcare or managed care setting required.
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position may also be qualifying.
Preferred Qualifications:
  • Previous medical billing and coding experience.
  • Certified medical assistant (CMA) certification.
  • Concurrent review and utilization management experience.
  • Bilingual in English and in one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
Work Environment:

The Midtown Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.



  • Orange, California, United States Infojini Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Assistant to join our team at Infojini. As a Medical Authorization Assistant, you will play a critical role in ensuring the smooth operation of our healthcare services by authorizing requested services, verifying eligibility, and performing data entry into our...


  • Orange, California, United States V Group Inc. Full time

    About the Role:V Group Inc. is seeking a highly motivated and experienced Medical Authorization Assistant (CCR) to support our team. The Medical Authorization Assistant (Concurrent Review) will provide office and referral management support services, assist inpatient Medical Case Managers in obtaining medical records, document all case information in the...


  • Orange, California, United States The Midtown Group Full time

    Job SummaryWe are seeking a highly motivated and experienced Medical Authorization Assistant to join our team at The Midtown Group. As a Medical Authorization Assistant, you will play a critical role in providing office and referral management services, serving as a contact between members, physicians, providers, and staff.Key ResponsibilitiesProcess initial...


  • Orange, California, United States Infojini Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Assistant to join our team at Infojini. As a key member of our healthcare team, you will be responsible for managing medical authorization requests, collaborating with healthcare providers, and ensuring seamless communication with our clients.Key ResponsibilitiesMedical...


  • Orange, California, United States Infojini Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Assistant to join our team at Infojini. As a key member of our healthcare team, you will be responsible for managing medical authorization requests, collaborating with healthcare providers, and ensuring seamless communication with our clients.Key ResponsibilitiesMedical...


  • Orange, California, United States Infojini Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Authorization Assistant to join our team at Infojini. As a Medical Authorization Assistant, you will play a critical role in ensuring the smooth operation of our healthcare services by authorizing medical services, verifying eligibility, and providing exceptional customer service.Key...


  • Orange, California, United States Infojini Full time

    Medical Authorization Assistant RoleDuties and Responsibilities:Authorization and Eligibility: Receives referral requests via various channels and enters new service request information into the authorization system, verifying eligibility and performing data entry according to Client's Health guidelines.Client and Provider Communication: Collects additional...


  • Orange, California, United States The Midtown Group Full time

    Job SummaryThe Midtown Group is seeking a highly motivated and experienced Medical Authorization Assistant to join our team. As a Medical Authorization Assistant, you will provide office and referral management support services, assist inpatient Medical Case Managers in obtaining medical records, document all case information in the system, perform data...


  • Orange, California, United States The Midtown Group Full time

    Job SummaryThe Midtown Group is seeking a highly motivated and experienced Medical Authorization Assistant to join our team. As a Medical Authorization Assistant, you will provide office and referral management support services, assist inpatient Medical Case Managers in obtaining medical records, document all case information in the system, perform data...


  • Orange, California, United States Infojini Full time

    Job SummaryAs a Medical Authorization Assistant at Infojini, you will play a vital role in ensuring seamless healthcare services for our clients. Your primary responsibility will be to receive and process referral requests, gathering necessary information from clients and providers to facilitate authorization decisions. You will work closely with our Medical...


  • Orange, California, United States Regal Medical Group Full time

    Job SummaryThe Prior Authorization Coordinator will play a crucial role in facilitating the referral process, ensuring that patients receive the right care at the right time in the right setting. This position requires strong organizational skills, attention to detail, and the ability to work in a fast-paced environment.Key ResponsibilitiesReferral...

  • Medical Assistant

    4 weeks ago


    Orange, California, United States Pacific Medical Centers Full time

    Job SummaryWe are seeking a highly skilled and motivated Medical Assistant to join our team at Pacific Medical Centers. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare team.Key ResponsibilitiesAssist physicians with patient care, including taking vital signs, preparing patients for exams,...

  • Medical Assistant

    4 weeks ago


    Orange, California, United States The Midtown Group Full time

    Job SummaryThe Midtown Group is seeking a highly motivated and experienced Medical Assistant to join our team. As a Medical Assistant, you will provide critical support to our healthcare team, ensuring seamless operations and exceptional patient care.Key Responsibilities:Provide administrative support to healthcare professionals, including data entry,...

  • Medical Assistant

    4 days ago


    Orange, California, United States Pacific Medical Centers Full time

    Job Summary:PACT MSO is seeking a Medical Assistant to join our busy Dermatology Group. As a Medical Assistant, you will be responsible for providing clinical and administrative support to our physicians and patients.Key Responsibilities:Assist physicians with patient care, including checking in and out patients, escorting patients to rooms, and completing...

  • Medical Assistant

    1 month ago


    Orange, California, United States Schweiger Dermatology Group Full time

    Job Opportunity at Schweiger Dermatology GroupWe are seeking a highly skilled and detail-oriented Medical Assistant to join our team at Schweiger Dermatology Group. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare providers in a fast-paced medical setting.Key Responsibilities:Assist...

  • Medical Assistant

    2 weeks ago


    Orange, California, United States The Midtown Group Full time

    Job OverviewWe are seeking a highly motivated and experienced Medical Authorization Assistant to join our team. The successful candidate will provide office and referral management support services, assist inpatient Medical Case Managers in obtaining medical records, and perform data entry into appropriate databases for monitoring and tracking.Key...

  • Medical Assistant

    2 weeks ago


    Orange, California, United States Pacific Medical Centers Full time

    Job Title: Medical AssistantWe are seeking a highly skilled and detail-oriented Medical Assistant to join our team at Pacific Medical Centers. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare team.Job Summary:The Medical Assistant will be responsible for assisting physicians and other...

  • Medical Assistant

    3 weeks ago


    Orange, California, United States Pacific Medical Centers Full time

    Medical Assistant Job DescriptionWe are seeking a highly skilled and motivated Medical Assistant to join our team at Pacific Medical Centers. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare team.Key Responsibilities:Assist physicians with patient care, including taking vital signs,...


  • Orange, California, United States Barnabas Health Medical Group Full time

    Job OverviewThe Medical Scribe provides critical support to Emergency and Hospitalist Medicine Department clinicians by assisting with documentation and follow-up on diagnostics, consults, and orders. This role is ideal for entry-level healthcare professionals looking to build their medical knowledge and gain valuable clinical experience working alongside...

  • Medical Assistant

    1 week ago


    Orange, California, United States KPC GLOBAL MEDICAL CENTERS INC. Full time

    Job SummaryKPC GLOBAL MEDICAL CENTERS INC. is seeking a skilled Certified Nursing Assistant to join our team. As a Certified Nursing Assistant, you will provide direct patient care under the supervision of a Registered Nurse, including activities of daily living, vital sign monitoring, and other essential tasks.ResponsibilitiesProvide direct patient care,...