Authorization Specialist

Atlas Medical Consultants; Bakersfield (CA); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Atlas Medical Consultants in Bakersfield, CA is seeking a detail‑oriented Authorization Specialist to lead insurance authorization processes and ensure timely access to care. You will navigate payer requirements, coordinate with physicians and staff, and maintain accurate documentation in the EHR system.

The role demands 1–3 years in prior authorization or medical billing, strong CPT/ICD‑10 knowledge, and excellent communication in a fast‑paced healthcare environment.

Qualifications

• 1‑3 years of experience in prior authorization, medical billing, or healthcare administration.
• Strong knowledge of insurance verification, CPT/ICD‑10 coding, and medical terminology.
• Experience working with EHR/EMR systems and payer portals.

Responsibilities

• Initiate and manage prior authorization requests for medical procedures, treatments, and medications.
• Verify patient insurance eligibility and benefits prior to scheduled services.
• Communicate with insurance carriers, physicians, and clinical staff to obtain necessary approvals.
• Track and follow up on pending authorizations to ensure timely resolution.
• Review and interpret payer‑specific authorization requirements and medical necessity guidelines.
• Document all authorization activities accurately in the EHR system.
• Appeal denied authorizations and elevate complex cases as needed.

Skills

Prior authorization

Medical billing

Healthcare administration

Attention to detail

Communication skills

Education

High school diploma

Medical billing/coding certification

Tools

EHR/EMR systems

Payer portals

CPT/ICD-10 coding

Job description

Benefits

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

About the Role

Atlas Medical Consultants in Bakersfield, CA is looking for a detail‑oriented Authorization Specialist to join our growing team. In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency. If you thrive in a fast‑paced healthcare environment and love making a real difference, we want to hear from you!

Responsibilities

• Initiate and manage prior authorization requests for medical procedures, treatments, and medications
• Verify patient insurance eligibility and benefits prior to scheduled services
• Communicate with insurance carriers, physicians, and clinical staff to obtain necessary approvals
• Track and follow up on pending authorizations to ensure timely resolution
• Review and interpret payer‑specific authorization requirements and medical necessity guidelines
• Document all authorization activities accurately in the electronic health record (EHR) system
• Appeal denied authorizations and elevate complex cases as needed

Requirements

• 1‑3 years of experience in prior authorization, medical billing, or healthcare administration
• Strong knowledge of insurance verification, CPT/ICD‑10 coding, and medical terminology
• Experience working with EHR/EMR systems and payer portals
• Familiarity with commercial, Medicare, and Medicaid authorization processes
• Excellent communication and organizational skills with strong attention to detail
• Ability to manage multiple tasks and meet deadlines in a high‑volume environment
• High school diploma or equivalent required; medical billing/coding certification a plus

About Us

Atlas Medical Consultants has been a trusted healthcare resource in the Bakersfield, CA community, dedicated to delivering exceptional patient care and administrative excellence. Our patients choose us for our commitment to quality and compassionate service, while our team members thrive in a supportive, collaborative workplace culture. At Atlas Medical Consultants, we invest in our people because we know that a great team is the foundation of great care.