Insurance Verification Specialist

Bookman Consulting; Irvine (CA); On-site; USD 70,000 - 80,000; Full time

Job summary

Bookman Consulting in Irvine, CA is seeking an Insurance Verification Specialist to verify pre-authorizations and coordinate with insurance carriers to ensure timely treatment approvals. This on-site role requires clear communication with TPAs, billing staff, and care teams to prevent authorization gaps.

You will review authorizations, monitor expiration dates, and manage changes when patients transition between care levels.

Qualifications

• Experience obtaining medical pre-authorizations from insurance carriers.
• Excellent verbal and written communication skills.
• Experience submitting RFAs (Requests for Authorization).
• Experience reviewing approvals for dates, units, frequency, level of care, and services.
• Experience monitoring authorizations to prevent gaps.

Responsibilities

• Work with Workers’ Compensation carriers, TPAs, and billing staff to ensure authorizations are in place.
• Verify and track authorization status throughout treatment.
• Assist with changes when patients transition between levels of care.

Skills

Insurance verification

Communication skills

RFAs

Authorization review

Authorization monitoring

Care level transitions

Job description

We are recruiting for a Insurance Verification Specialist for our client in Irvine. Our client is medical treatment provider. The appropriate candidate should have experience interacting directly with insurance carriers, third party administrators, etc., while seeking authorization for treatment, and navigating potential billing issues. This role should have excellent work/life balance!

Insurance Verification Specialist (Irvine – On Site):

• Must have experience working with insurance carriers to obtain medical pre-authorizations
• Must have excellent communication skills
• Should have experience submitting authorization requests, including Requests for Authorization (RFAs)
• Should have experience reviewing authorization approvals to confirm approved dates, units, frequency, level of care, and services
• Should have experience monitoring authorization expiration dates and remaining approved units to prevent authorization gaps
• Should have experience managing authorization changes when clients transition between levels of care
• Salary likely $70-$80k + benefits, PTO, etc

This company has been around a long time, has an excellent reputation in the community, and is growing quickly. They invest in their people and promote from within. This is a brand-new role! This position works closely with Workers’ Compensation carriers, third-party administrators (TPAs), and billing staff to ensure services are appropriately authorized and requirements are met prior to and throughout treatment.