Healthcare Authorization Specialist (Temporary)

University of California - Irvine Health; California; On-site; USD 32,000 - 46,000; Full time

Job summary

University of California - Irvine Health is seeking an Authorization Specialist to manage prior authorizations, verification, and payer communications. You will work within Epic to ensure timely care continuity and accuracy in eligibility checks.

Ideal candidates have 3–5 years of experience in healthcare authorizations, with proficiency in Epic and Microsoft Office, and a solid understanding of medical terminology and payer guidelines.

Qualifications

• Minimum of 3 to 5 years of experience directly working with insurance carriers on healthcare authorizations, referrals, or benefit verifications.
• Demonstrated experience utilizing Epic or a comparable electronic health record system along with standard Microsoft Office applications.
• Thorough knowledge of medical terminology, commercial and managed care insurance plans, and payer guidelines.

Responsibilities

• Submit prior authorization requests to health plans and managed care organizations for outpatient specialty services, diagnostic testing, procedures, and medications.
• Track, follow up on, and document authorization statuses within the Epic electronic health record system to ensure care continuity.
• Verify patient insurance eligibility and benefits while maintaining precise compliance with payer guidelines and departmental policies.
• Process high-volume authorization workloads (30+ daily) while meeting critical turnaround standards for routine and STAT requests.

Skills

Authorization processing

Payer guidelines knowledge

Medical terminology

Microsoft Office

Tools

Epic EHR

Microsoft Office

Job description

University of California - Irvine Health is seeking an Authorization Specialist to manage prior authorizations, verification, and payer communications. You will work within Epic to ensure timely care continuity and accuracy in eligibility checks.

Ideal candidates have 3–5 years of experience in healthcare authorizations, with proficiency in Epic and Microsoft Office, and a solid understanding of medical terminology and payer guidelines.