Medical Authorization & Care Coordination Specialist

Pulmonary Medicine, Infectious Disease & Critical Care Consultants Medical Group, Inc.; Roseville (CA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Long-term disability

PTO

401k match

Job summary

Pulmonary Medicine Associates (PMA) in Roseville, CA is seeking an Authorization Specialist to join our busy practice. You will schedule procedures, obtain authorizations, verify benefits, and maintain accurate EMR records while coordinating with hospitals and clinics.

The role demands strong communication, attention to detail, and compliance with payer requirements. We offer a competitive salary and a comprehensive benefits package, including medical, dental, vision, life, LTD, PTO, and a 401k

Qualifications

• High school diploma or GED required or equivalent.
• Minimum two years in a medical environment preferred.
• Knowledge of medical terminology is essential.
• Knowledge of medical billing procedures and HMO/PPO insurance.
• Excellent phone etiquette and verbal communication.
• Ability to type 45 WPM accurately.
• Valid California driver’s license required.

Responsibilities

• Schedule pulmonary procedures, diagnostics, and follow-ups per physician orders.
• Obtain and track insurance authorizations and referrals for procedures.
• Verify insurance benefits, eligibility, and authorization requirements.
• Submit authorization requests to insurers and follow up for approval.
• Maintain EMR documentation and scheduling records accurately.
• Coordinate procedures with hospitals, imaging facilities, and labs.
• Communicate with patients about dates, requirements, and prep.
• Ensure necessary documentation is available prior to procedures.
• Identify and escalate delays in authorization or scheduling.
• Work with providers, nurses, and front-office staff for efficient care.
• Protect patient confidentiality and follow payer requirements.
• Perform other front office tasks as assigned.

Skills

Medical terminology

Medical billing knowledge

Customer service

Communication skills

Typing 45 WPM

Confidentiality

Education

High school diploma or GED

Tools

EMR systems

Job description

Pulmonary Medicine Associates (PMA) in Roseville, CA is seeking an Authorization Specialist to join our busy practice. You will schedule procedures, obtain authorizations, verify benefits, and maintain accurate EMR records while coordinating with hospitals and clinics.

The role demands strong communication, attention to detail, and compliance with payer requirements. We offer a competitive salary and a comprehensive benefits package, including medical, dental, vision, life, LTD, PTO, and a 401k