Medical Authorization Assistant
2 weeks ago
We are seeking a highly motivated and experienced Medical Authorization Assistant to provide office and referral management support services.
The Medical Authorization Assistant will provide support to inpatient Medical Case Managers in obtaining medical records, documenting case information in the system, and performing data entry into appropriate databases.
The incumbent will serve as the contact between members, physicians, facilities, providers, and the Client staff.
The incumbent will be responsible for processing intake information and assisting with authorization functions.
Qualifications:
- Bachelor's degree in Healthcare Administration or a related field
- 2 years of experience in a healthcare or managed care setting
- An equivalent combination of education and experience
Responsibilities:
- 85% Medical Authorization - Receives referral requests via fax, phone, or electronically and enters new service request information into the authorization system
- Collects additional information from Client members and providers to complete referral information
- Authorizes requested services according to Client's authorization guidelines
- Contacts the health networks and Client Customer Service regarding health network enrollments
- Assists the Medical Case Managers in gathering medical records, obtains appropriate coding for diagnosis and procedures, and follows up on phone calls as directed
- Documents all contacts and case information in the system using the standard charting format
- Performs data entry into the appropriate databases for monitoring, tracking, and trending of events
- 10% Administrative Support - Participates in a mission-driven culture of high-quality performance
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals
- 5% Completes other projects and duties as assigned
-
Medical Authorization Specialist
3 weeks ago
Orange, California, United States V Group Inc. Full timeAbout 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...
-
Medical Authorization Specialist
4 weeks ago
Orange, California, United States The Midtown Group Full timeJob 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...
-
Medical Authorization Specialist
3 weeks ago
Orange, California, United States Infojini Full timeMedical 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...
-
Medical Authorization Specialist
3 weeks ago
Orange, California, United States Infojini Full timeJob 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...
-
Medical Authorization Assistant
3 weeks ago
Orange, California, United States The Midtown Group Full timeJob 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...
-
Medical Assistant
3 weeks ago
Orange, California, United States Pacific Medical Centers Full timeJob 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
4 weeks ago
Orange, California, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob 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,...
-
Medical Assistant
4 weeks ago
Orange, California, United States Pacific Medical Centers Full timeJob SummaryWe are seeking a highly skilled Medical Assistant to join our team at Pacific Medical Centers. As a Medical Assistant, you will play a vital role in providing clinical and administrative support to our healthcare team.Key ResponsibilitiesAssist physicians with patient care, including checking in and out patients, escorting patients to rooms, and...
-
Family Nurse Practitioner or Physician Assistant
4 weeks ago
Orange, California, United States One Medical Full timeAbout UsOne Medical is a pioneering primary care solution that's revolutionizing the industry by making quality care more accessible, affordable, and enjoyable.We're not your average doctors office. Our mission is to transform healthcare by tackling the frustrations of everyone involved - from patients and providers to employers and health networks.With over...
-
Primary Care Physician Assistant
3 weeks ago
Orange, California, United States One Medical Full timeAbout UsOne Medical is a membership-based primary care platform challenging the industry status quo by making quality care more accessible and enjoyable.We're on a mission to transform healthcare, which means tackling the frustrations of everyone involved — from patients and providers to employers and health networks.Our seamless in-office and 24/7 virtual...
-
Medical Office Coordinator
4 weeks ago
Orange, California, United States Foot Health Center, LLC Full timeJob SummarySeeking a highly organized and detail-oriented Medical Office Coordinator to join our team at Foot Health Center, LLC. As a Medical Office Coordinator, you will be responsible for providing exceptional patient care and administrative support to our podiatry office.Key Responsibilities:Greets patients, answers phones, and routes callsSchedules...
-
Prior Auth Nurse Temp
3 weeks ago
Orange, California, United States Regal Medical Group Full timeJob Summary:The Prior Auth Nurse Temp will promote the quality and cost-effectiveness of medical care by applying clinical acumen and appropriate policies and guidelines to prior authorization specialty referral requests.This role will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If not...
-
Medical Assistant
4 weeks ago
Orange, California, United States ABACUS DERMATOLOGY MANAGE Full time**Job Summary:**We are seeking a highly skilled Medical Assistant to join our team at Abacus Dermatology Manage. As a Medical Assistant, you will play a vital role in ensuring the smooth operation of our medical office.Key Responsibilities:Assist physicians with exams, procedures, and patient carePrepare patients for exams and procedures, including obtaining...
-
Hospital Assistant I
4 weeks ago
Orange, California, United States University of California Full timeJob Summary:UCI Health is seeking a skilled Hospital Assistant I to join our team. As a key member of our healthcare team, you will assist direct patient care providers with safe patient handling, stocking, cleaning, and set-up of special procedure rooms.You will track, deliver, clean, and perform basic repair of equipment & supplies and assure that...
-
Medical Professional Assistant Specialist
3 weeks ago
Orange, California, United States ABACUS DERMATOLOGY MANAGE Full timeJob Summary:We are seeking a highly skilled Medical Professional Assistant Specialist at ABACUS DERMATOLOGY MANAGE. The successful candidate will play a vital role in ensuring the smooth operation of our medical practice, providing exceptional support to our healthcare team, and delivering outstanding patient care.Key Responsibilities:* Scheduling all...
-
Medical Assistant
4 weeks ago
Orange, California, United States AdeIphi MedicaI Staffing Full timeJob SummaryAdeIphi MedicaI Staffing is seeking a Medical Assistant to provide services at a correctional facility in Orange County, California. The ideal candidate will be responsible for various tasks such as preparing inmate patients for examinations, filing and organizing patient health records, and performing other related duties.Key...
-
Referral Nurse Specialist
3 weeks ago
Orange, California, United States Prospect Medical Full timeAs a Referral Nurse Specialist at Prospect Medical, you will play a critical role in supporting health network providers. Your responsibilities will include reviewing Treatment Authorization Requests (TARs)/Cerecons requests for approval, modification, and working with the Medical Director daily on denials and medical necessity reviews.Key responsibilities...
-
Eligibility Processor I
4 weeks ago
Orange, California, United States Prospect Medical Full timeThe Eligibility Processor is responsible for uploading eligibility files monthly, as well as updating the IDX system with add, changes, and terminations. This person will be familiar with verifying eligibility through health plan websites, as well as on the telephone. Verify manual claims, electronic claims, and authorizations. Detail-oriented...
-
Executive Assistant
3 weeks ago
Orange, California, United States Orange County Transportation Authority Full timeJob SummaryAs an Executive Assistant at the Orange County Transportation Authority, you will provide administrative support to a Director-level position, addressing administrative details and relieving the executive of administrative tasks. This role requires a high level of technical and professional expertise, including proficiency in managing complex...
-
Clinical Care Coordinator
4 weeks ago
Orange, California, United States Prospect Medical Full timeJob SummaryThe Inpatient/SNF Case Manager is responsible for coordinating daily Inpatient/SNF services, including assessments, treatment planning, monitoring, evaluation, documentation, and discharge planning. This role interacts with Medical Directors, facility staff, and hospitalists to determine medical necessity of admission, continued stay, or discharge...