Medical Assistant Insurance verifier authorization specialist

Apex Practice Management Group; Los Angeles (CA); On-site; USD 30,307; Full time

Job summary

A healthcare management firm in Los Angeles is seeking an experienced Prior Authorization/Insurance verification Specialist. The candidate will be responsible for obtaining insurance authorizations and verifying eligibility for medical services. This in-person role requires proficiency in medical terminology, familiarity with insurance processes, and fluency in Spanish. Ideal for detail-oriented individuals looking to enhance patient care through timely approvals.

Qualifications

• 1 year experience in insurance verification and prior authorization required.
• 1 year experience as a medical receptionist required.
• Fluent in Spanish required.

Responsibilities

• Review and process prior authorization requests for medical services.
• Communicate with healthcare providers, insurance companies, and patients.
• Verify insurance coverage, copays, deductible, and eligibility.

Skills

Proficiency in medical terminology and coding

Experience working in a medical office or managed care setting

Knowledge of insurance verification and prior authorization processes

Familiarity with ENT and Internal Medicine office procedures

Strong attention to detail and organizational skills

Job description

Job Summary

We are seeking a detail‑oriented Prior Authorization/Insurance verification Specialist to join our team. The ideal candidate will be responsible for obtaining insurance authorizations and checking eligibility for medical procedures and services, ensuring timely approvals to facilitate patient care.

Duties

• Review and process prior authorization requests for medical services
• Communicate with healthcare providers, insurance companies, and patients to gather necessary information
• Verify insurance coverage, copays, deductible and eligibility for requested services
• Ensure compliance with HIPAA regulations and company policies
• Maintain accurate records of authorizations and follow‑up as needed

Skills

• Proficiency in medical terminology and coding
• Experience working in a medical office or managed care setting
• Knowledge of insurance verification and prior authorization processes
• Familiarity with ENT and Internal Medicine office procedures is a plus
• Strong attention to detail and organizational skills

Experience

• Insurance verification and Prior authorization: 1 year (Required)
• Medical receptionist: 1 year (Required)

Language

• Spanish (Required)

Work Location

In person

Job Type: Full‑time

Pay: $22.00 per hour

Expected hours: 35 – 40 per week