Healthcare Authorization Specialist (Pre-Certs & Insurance)

Marshall Medical Center; Placerville (CA); Hybrid; USD 29,000 - 33,000; Full time

Job summary

Marshall Medical Center in Placerville, CA seeks an Authorization Specialist for MMF Marshall Family Medicine. You will obtain pre-certifications and authorizations for procedures, medications and DME, working with patients, physicians and insurance providers to keep the process fast and accurate.

This role emphasizes HIPAA compliance, strong communication, and teamwork within a supportive clinic environment that serves El Dorado County.

Qualifications

• High School Diploma or GED required.
• At least two years of customer service experience preferred, ideally healthcare.
• Experience using EPIC EHR and basic MS Office/Google apps preferred.
• Ability to communicate clearly and maintain HIPAA confidentiality.

Responsibilities

• Obtain pre-certifications and pre-authorizations for procedures, DME and medications.
• Coordinate with physicians, patients, providers and clinic staff to expedite approvals.
• Verify insurance eligibility and communicate with payers and internal teams.
• Maintain HIPAA-compliant records and participate in quality improvement activities.

Skills

Communication

Customer service

Organization

Multitasking

Attention to detail

Initiative

Education

High School Diploma or GED

Tools

EPIC EHR

MS Office (Word & Excel)

Google Apps

Job description

Marshall Medical Center in Placerville, CA seeks an Authorization Specialist for MMF Marshall Family Medicine. You will obtain pre-certifications and authorizations for procedures, medications and DME, working with patients, physicians and insurance providers to keep the process fast and accurate.

This role emphasizes HIPAA compliance, strong communication, and teamwork within a supportive clinic environment that serves El Dorado County.