Care Access & Authorization Specialist II

Loma Linda University Health; Loma Linda (CA, AZ); On-site; USD 45,000 - 65,000; Full time

Job summary

Loma Linda University Health is seeking a Scheduling & Auth Specialist 2 in the HOPD Pediatric Neurosurgery department. You will be responsible for financially clearing insurance verifications, reviewing medical records, and coordinating authorizations with payers.

Collaborate with the Patient Business Office, assist with reimbursement and authorization processes, and support denials and appeals. Strong communication in English and proficiency with office software are essential.

Qualifications

• Associate's Degree required.
• Minimum three years of related experience.
• Healthcare experience preferred.
• Medical coding certification preferred.

Responsibilities

• Financially clear insurance verifications for services.
• Review medical records and obtain required documentation for authorizations.
• Interface with payers to extend authorization for treatment and support denials/appeals.

Skills

Insurance verifications

ICD/CPT coding

Professional communication

Education

Associate's degree

Tools

Word

Excel

Outlook

PowerPoint

Job description

Loma Linda University Health is seeking a Scheduling & Auth Specialist 2 in the HOPD Pediatric Neurosurgery department. You will be responsible for financially clearing insurance verifications, reviewing medical records, and coordinating authorizations with payers.

Collaborate with the Patient Business Office, assist with reimbursement and authorization processes, and support denials and appeals. Strong communication in English and proficiency with office software are essential.