Health Information Specialist

2 days ago

Irvine, California, United States Pacific Neuropsychiatric Specialists Inc Full time

Benefits:
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance


Are you doing what you love? We are 

Pacific Neuropsychiatric Specialists (PNS) is a leading mental health medical group dedicated to providing comprehensive treatment for a wide range of mental health conditions, including ADHD, depression, anxiety, bipolar disorder, schizophrenia, dementia, and more. Our services span adolescent and adult psychiatry, medication management, and psychotherapy. 

Job Summary:
We are seeking a motivated and like-minded Health Information Specialist. This is a full-time, in-office position. The Health Information Specialist will manage and maintain the accuracy, security, and privacy of electronic, and paper-based, medical records, manage data quality, and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications, insurance, and prior authorization documents with patients, getting prior authorization approval from insurance companies, filing appeals, and ensuring completeness and accuracy on all prior authorizations. 

Key Responsibilities:
  •  Submitting requests to insurance companies, gathering necessary documents, completing forms and following up on the status of the requests.
  • Provide updates on the authorization, review requests for completeness and ensure all supporting documents are submitted to expedite approvals. 
  • Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-set standards.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
  • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is completed.
  • Collaborate with other departments to assist in obtaining prior authorizations/appeals.
  • Document all interactions with insurance companies within the EMR system.
  • Proactively work on prior authorizations that are due to expire.
  • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
  • Other duties as assigned. 


Required Skills and Qualifications:
  •  Previous experience working in a medical/psychiatric facility is preferred.
  • Excellent communication skills, both written and oral.
  • Proficient telephone and computer skills.
  • Must be able to prioritize multiple tasks at once, and deal with high stress levels in an environment of changing priorities.
  • Must be able to interact with all levels of staffing professionally.
  • Medical Records and Prior Authorization experience preferred, but not required. 

Compensation and Benefits:
  • PNS offers a competitive compensation package including; medical, dental, and paid time off for full time employees.
  • Hourly rate based on skill, experience and tenure of your profession.

  • Information Technology Specialist

    1 week ago

    Irvine, California, United States Demidchik Law Firm, P.C. Full time

    Job Title:In-House IT Specialist (Microsoft Defender & Intune Focus)Company:Demidchik Law FirmEmployment:Full-Time, On-siteLocation:Irvine officeAbout the Role:Demidchik Law Firm is a fast-growing, multi-office law firm seeking an In-House IT Specialist to manage our Microsoft 365 environment and device security. This role focuses heavily on Microsoft...

  • Health Information Specialty Coder III

    21 hours ago

    Irvine, California, United States UC Irvine Health Full time

    Overview:UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los...

  • Director, Information Assurance

    2 weeks ago

    Irvine, California, United States PDS Health Full time

    :Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply todayOverview:Under the leadership of the Vice President, the Director, Enterprise Operations is responsible for aligning the company's...

  • Health and Safety Specialist

    11 hours ago

    Irvine, California, United States Langan Full time

    Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare systems, colleges/universities, and large infrastructure programs throughout the U.S. and around the world. Our employees collaborate seamlessly among 40+ offices and gain...

  • Scheduling Specialist I

    2 weeks ago

    Irvine, California, United States Hoag Health System Full time $60,000 - $90,000 per year

    Primary Duties And ResponsibilitiesUnder direct supervision, the Scheduling Specialist I assists in the coordination of Patient Procedure/Surgical schedule. The Scheduling Specialist I collaborates in the management and scheduling of routine procedures in treatment area as well as add-ons and emergent procedures, facilitating communication between patients,...

  • Inpatient Health Info Coder 3-Health Information-FT-Day

    15 hours ago

    Irvine, California, United States University of California, Irvine Full time

    Who We AreUCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los...

  • Environmental Health Safety Specialist

    4 days ago

    Irvine, California, United States Nikkiso Clean Energy & Industrial Gases Full time

    Nikkiso Clean Energy & Industrial Gasesis a leading provider of cryogenic pumps, heat exchangers, process systems, services, and solutions for the LNG and industrial gases industry. We are a subsidiary of Nikkiso Company Ltd, a leading industrial manufacturer headquartered in Tokyo, Japan, with over $1.5B in annual revenue, employees worldwide, and publicly...

  • Intake Specialist

    2 weeks ago

    Irvine, California, United States Float Health Full time

    Float Health is hiring in Irvine, CAAbout FloatFloat is the full-stack platform for Specialty Pharma home infusion. We're on a mission to make healthcare safer, easier, and more efficient by connecting Nurses to home medication visits - moving all care that doesn't need a hospital to the home.Float connects nurses with patients so they can get treatments for...

  • Payroll Specialist

    6 days ago

    Irvine, California, United States Comp Central Full time

    Job Summary:As a Comp Central Payroll Specialist at this PEO, your primary responsibility will be to handle all aspects of payroll management for client companies. Comp Central provides comprehensive HR solutions to small and medium-sized businesses, offering services such as payroll, benefits administration, employee onboarding, compliance assistance, and...

  • Account Specialist Medical Sales

    2 weeks ago

    Irvine, California, United States Stance Health Solutions Full time

    Full-time Description Position OverviewThe Account Specialist will perform a wide range of duties to foster critical partnerships and ensure patients receive appropriate and timely care. The Account specialist is responsible for developing and maintaining strong referral relationships with physicians, hospital discharge planners, case managers, healthcare...