![TEKsystems](https://media.trabajo.org/img/noimg.jpg)
Authorization Specialist II
1 week ago
Hiring for Authorizations Specialist
Description:
Position Purpose:
Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
Education/Experience:
Requires a High School diploma or GED
Requires 1 - 2 years of related experience.
Knowledge of medical terminology and insurance preferred. Aids the utilization management team and maintains ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines
Supports the authorization review process by researching and documenting necessary medical information such as history diagnosis and prognosis based on the referral to the clinical reviewer for determination
Verifies member insurance coverage and/or service/benefit eligibility via system tools and aligns authorization with the guidelines to ensure a timely adjudication for payment
Performs data entry to maintain and update various authorization requests into utilization management system
Supports and processes authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer
Remains up-to-date on healthcare authorization processes policies and procedures
Performs other duties as assigned
Complies with all policies and standards
Experience Level:
2+ years of experience initiating and processing Prior Authorizations and Referrals
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
-
Authorization Technician Ii
3 weeks ago
Los Angeles, United States L.A. Care Health Plan Full timeAuthorization Technician II **Job Category**:Clinical**Department**:Utilization Management**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11131**Salary Range**: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.)- Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of...
-
Authorization Technician II
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $47, Min.) - $57, Mid.) - $68, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Authorization Technician II
2 months ago
Los Angeles, California, United States L.A. Care Health Plan Full timeSalary Range: $47, Min.) - $57, Mid.) - $68, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...
-
Authorization Specialist
4 weeks ago
Los Angeles, United States A-Line Staffing Solutions Full timeJob DescriptionJob DescriptionA-Line Staffing is now hiring an Remote Authorization Specialist. The Authorization Specialist would be working for a major company and has career growth potential This would be full time / 40+ hours per weekIf you are interested in this Authorization Specialist position, please contact Mitch at...
-
Prior Authorization Specialist
4 weeks ago
Los Angeles, United States A-Line Staffing Solutions Full timeJob DescriptionJob DescriptionA-Line Staffing is now hiring a remote Prior Authorization Specialist with a major health plan company. This would be full time / 40+ hours per week.Prior Authorization Specialist CompensationThe pay for this position is $23 per hourBenefits are available to full-time employees after 90 days of employmentA 401(k) with a company...
-
Compliance Specialist Ii
2 weeks ago
Los Angeles, United States Housing Authority City of Los Angeles Full timeThe Compliance Specialist II reports directly to the Assistant Compliance Manager and indirectly to the Compliance Manager. The Compliance Specialist II position is nonsupervisory with no direct reports. This position is responsible for conducting on-site Management and Occupancy Reviews (MORs) at Project-Based Section 8 properties in ten southern California...
-
Housing Specialist Ii
3 weeks ago
Los Angeles, United States Volunteers of America Los Angeles Full timeAbout Us: **_VOALA_** **_Helping Our Most Vulnerable Change Their Life Stories_** **PAY RATE**:$23.90-$25.16 PER HOUR **JOB SUMMARY AND PURPOSE** The Housing Specialist II is responsible for identifying suitable housing options for program participants and their families, and assisting the participants to achieve sustainable and healthy independent...
-
Learning and Development Specialist Ii
4 days ago
Los Angeles, United States Volunteers of America Los Angeles Full timeAbout Us: **VOALA** **_Helping Our Most Vulnerable Change Their Life Stories_** **JOB SUMMARY AND PURPOSE** As part of the Learning & Development team, the Learning & Development Specialist II conducts training and performs training design, development, utilization, and evaluation of processes and resources for learning, primarily for all levels of...
-
Housing Specialist Ii
2 months ago
Los Angeles, United States Volunteers of America, Los Angeles Full timeAbout Us: - **VOALA**_ - **Helping Our Most Vulnerable Change Their Life Stories**_ **PAY RATE: $23.90-$25.16 PER HOUR** **JOB SUMMARY AND PURPOSE** The Housing Specialist II is responsible for identifying suitable housing options for program participants and their families, and assisting the participants to achieve sustainable and healthy independent...
-
Housing Specialist Ii
4 days ago
Los Angeles, United States Volunteers of America, Los Angeles Full timeAbout Us: - **VOALA**_ - **Helping Our Most Vulnerable Change Their Life Stories**_ **PAY RATE: $23.90-$25.16 PER HOUR** **JOB SUMMARY AND PURPOSE** The Housing Specialist II is responsible for identifying suitable housing options for program participants and their families, and assisting the participants to achieve sustainable and healthy independent...
-
Clinical Authorization Specialist
2 months ago
Los Angeles, United States Keck Medical Center of USC Full timeThe Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written...
-
Learning and Development Specialist II
2 weeks ago
Los Angeles, United States Voala Full timeHelping Our Most Vulnerable Change Their Life StoriesVolunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans...
-
Production Support Specialist Ii
6 days ago
Los Angeles, United States City National Bank Full timeOverview: **PRODUCTION SUPPORT SPECIALIST II** **WHAT IS THE OPPORTUNITY?** The Production Support Specialist II is responsible for ensuring files are complete with all applicable documentation required for a decision to be rendered prior to underwriting within the Small Business/Consumer and Commercial Operations groups. The Production Support Specialist...
-
Compliance Specialist II
5 days ago
Los Angeles, California, United States Housing Authority of the City of Los Angeles Full timeThe Compliance Specialist II reports directly to the Assistant Compliance Manager and indirectly to the Compliance Manager. The Compliance Specialist II position is nonsupervisory with no direct reports. This position is responsible for conducting on Compliance Specialist, Specialist, Compliance Manager, Compliance, Application, Healthcare
-
Compliance Specialist II
6 days ago
Los Angeles, United States Housing Authority of the City of Los Angeles Full timeThe Compliance Specialist II reports directly to the Assistant Compliance Manager and indirectly to the Compliance Manager. The Compliance Specialist II position is nonsupervisory with no direct reports. This position is responsible for conducting on Compliance Specialist, Specialist, Compliance Manager, Compliance, Application, Healthcare
-
Learning and Development Specialist II
3 weeks ago
Los Angeles, United States Voala Full timeHelping Our Most Vulnerable Change Their Life Stories Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans...
-
Learning and Development Specialist II
4 weeks ago
Los Angeles, United States Voala Full timeHelping Our Most Vulnerable Change Their Life Stories Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans...
-
Learning and Development Specialist II
4 days ago
Los Angeles, California, United States Voala Full timeHelping Our Most Vulnerable Change Their Life StoriesVolunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans...
-
User Support Specialists
6 days ago
Los Angeles, United States jobcompare.com Full timeUser Support Specialists Ii Jobs (500+ Jobs) IT Suppor**t** **Specialist** **II** 6+ month contract for a IT System **Support** **Specialist** **II** with experience ... **user** on-boarding and off-boarding process - Responsible for **supporting** audio and visual equipment ...Position Summary The IT Suppor**t** **Specialist** **II** role provides advanced...
-
Lausd Owner's Authorized Representative Ii
5 days ago
Los Angeles, United States Simplex Construction Management, Inc. Full timeWe are currently looking for an Owner's Authorized Representative II (LAUSD CM-OAR-0322-08) for our contract with Los Angeles Unified School District. Please submit your resume ASAP. This position will be open until filled. Location: Los Angeles, CA - Authorization to work lawfully in the US without sponsorship from Simplex is required._ - This is an...