Healthcare Authorization & Compliance Specialist

Preferred Talent Solutions; Oakland (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

Preferred Talent Solutions is seeking an individual based in Oakland, California, responsible for contacting insurance companies to verify eligibility, benefits, and coverage details. This role requires securing pre-authorization for scheduled procedures and documenting all verification information clearly.

Additional requirements include active licensure, BLS/CPR certification for clinical roles, and completing health and safety clearances such as TB test and immunization verification. Background checks and compliance training will also be necessary.

Qualifications

• Active licensure/certifications as required for the role.
• BLS/CPR certification necessary for clinical positions.
• Health and Safety Clearances including TB test and immunization verification.

Responsibilities

• Contact insurance companies to verify eligibility and coverage details.
• Secure pre-authorization for scheduled procedures.
• Document all verification and authorization information.

Job description

Preferred Talent Solutions is seeking an individual based in Oakland, California, responsible for contacting insurance companies to verify eligibility, benefits, and coverage details. This role requires securing pre-authorization for scheduled procedures and documenting all verification information clearly.

Additional requirements include active licensure, BLS/CPR certification for clinical roles, and completing health and safety clearances such as TB test and immunization verification. Background checks and compliance training will also be necessary.