Insurance Authorization Specialist

All Seniors; Los Angeles (CA); Presencial; USD 48.000 - 70.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive salary

Daytime schedule

Comprehensive benefits

401(k) plan

Paid training

Quiet work environment

Descripción de la vacante

All Seniors Foundation in Los Angeles, CA is seeking an Insurance Authorization Specialist to obtain prior authorizations from Medi-Cal, Medicare Advantage plans, and commercial payers, ensuring timely care for seniors and reducing billing surprises.

You will submit requests for home health, hospice, DME, and outpatient services, verify benefits before care, and document authorizations in our EHR. A high school diploma and 2+ years in this field are required; bilingual candidates are encouraged.

Formación

• 2+ years prior-authorization or insurance verification experience.
• Familiarity with Medi-Cal, Medicare Advantage, and major commercial payers.
• Knowledge of ICD-10, CPT, and HCPCS codes.
• Strong phone communication and persistence with payer call centers.
• High school diploma; relevant certificate or associate’s preferred.

Responsabilidades

• Submit prior authorization requests for home health, hospice, DME, and outpatient services.
• Verify insurance eligibility and benefits before scheduled care begins.
• Communicate with payer case managers to expedite approvals.
• Document authorization numbers, expiration dates, and visit limits in our EHR.
• Follow up on denied or delayed authorizations including peer‑to‑peer reviews.
• Educate clinical staff on payer‑specific authorization requirements.

Conocimientos

Prior-authorization experience

Insurance verification

Payer knowledge

ICD-10 CPT HCPCS

Phone communication

Persistence

Educación

High school diploma

Healthcare admin certificate/associate

Descripción del empleo

Insurance Authorization Specialist – Clear the Path for LA Seniors to Get Free Care

Company: All Seniors FoundationLocation: Los Angeles, CA

About Us:

All Seniors Foundation is a 501(c)(3) non‑profit committed to improving the quality of life for older adults across Los Angeles County. we provide medical care, in‑home support, hospice and palliative care, cancer navigation, and 200+ other free services to qualifying seniors. Every service is delivered at no cost, regardless of insurance status.

Role Overview:

As Insurance Authorization Specialist, you will obtain prior authorizations from Medi‑Cal, Medicare Advantage plans, and commercial payers so that the seniors we serve get the care they need without billing surprises. You will work upstream of clinical visits to prevent denials.

Key Responsibilities:

• Submit prior authorization requests for home health, hospice, DME, and outpatient services
• Verify insurance eligibility and benefits before scheduled care begins
• Communicate with payer case managers to expedite approvals
• Document authorization numbers, expiration dates, and visit limits in our EHR
• Follow up on denied or delayed authorizations including peer‑to‑peer reviews
• Educate clinical staff on payer‑specific authorization requirements

Qualifications:

• 2+ years prior‑authorization or insurance verification experience
• Familiarity with Medi‑Cal, Medicare Advantage, and major commercial payers
• Knowledge of ICD‑10, CPT, and HCPCS codes
• Strong phone communication and persistence with payer call centers
• High school diploma; relevant certificate or associate’s preferred

What we Offer:

• Competitive salary ($48,000–$70,000)
• Daytime schedule, predictable hours
• Comprehensive benefits including health, dental, vision, 401(k)
• Paid training in payer policies + EHR systems
• Quiet, focused work environment

What to Expect on the Job

Your day will mix payer‑portal submissions, EHR documentation, and phone calls to insurance case managers. Persistence pays off — every authorization you clear means a senior gets care, and a family avoids stress over billing.

Why Work with All Seniors Foundation

All Seniors Foundation has grown over the years because the seniors and families we serve trust us — and that trust is built by the team behind every program. Joining us means working alongside committed professionals, having a stable mission‑driven role, and seeing the real impact of your work every single week.

• Competitive pay scaled to LA market rates
• Benefits package including paid time off and health coverage for full‑time roles
• Mission‑driven culture — every role connects directly to senior wellbeing
• Tight‑knit team that supports each other across disciplines
• Flexible scheduling for many positions

Career Development & Training

we invest in our team. Whether you're early‑career or seasoned, you'll have access to continuing education credits, professional certification support, peer mentorship, and clear paths to advance into senior or specialty roles within our organization.

Our Commitment to Inclusive Hiring

All Seniors Foundation is an equal‑opportunity employer. we welcome applicants of every background, identity, and lived experience. Bilingual candidates (Spanish, Korean, Armenian, Mandarin, Russian, and other Los Angeles‑area languages) are especially encouraged to apply.

2+ years prior‑authorization or insurance verification experience. Familiarity with Medi‑Cal, Medicare Advantage, and commercial payers. Knowledge of ICD‑10, CPT, HCPCS. Education: High school diploma; healthcare admin certificate or associate’s preferred Experience: 2+ years prior-authorization or insurance verification