Insurance Authorization Specialist – Clear the Path for LA Seniors to Get Free Care
Company: All Seniors Foundation
Location: Los Angeles, CA
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
Benefits
- 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
Equal‑Opportunity Employer Statement
All Seniors Foundation is an equal‑opportunity employer committed to inclusive hiring practices. We welcome applicants of every background, identity, and lived experience. Bilingual candidates are especially encouraged to apply.
Email info@allseniors.org for questions.