Pre-Authorization Specialist I

Med-National Staffing Inc.; South Pasadena (CA); On-site; USD 25,000 - 34,000; Full time

Job summary

Med-National Staffing Inc. in South Pasadena, CA is seeking a Pre-Authorization Specialist I for a 3-month contract with a potential direct offer.

The role pays $21.49/hour and involves reviewing authorization requests, performing utilization management, and supporting providers in efficient service utilization. The position requires 1–3 years of relevant experience in medical authorization, with responsibilities including precertifications, admission reviews, and determining medical necessity

Qualifications

• 1–3 years of relevant experience in medical authorization.

Responsibilities

• Reviews authorization requests.
• Performs utilization management activities including precertifications, admission reviews, and retrospective authorizations.
• Supports providers in increasing efficient utilization of services.
• Evaluates medical necessity for inpatient hospital admission and authorizes admission with estimated length of stay.

Job description

Our client is looking for a Pre-Authorization Speialist I in South Pasadena, CA! This is an initial 3-month contract with the likeliness of a direct offer opportunity offering a pay rate of $21.49/hour!

Key Responsibilities

• Reviews authorization requests
• Performs utilization management activities to include precertifications, admission reviews, and retrospective authorizations, using established medical criteria.
• Supports providers in working to increase efficient utilization of services.
• Evaluates the medical necessity for inpatient hospital admission, and authorizes the admission along with the estimated length of stay.

Requirements

• 1-3 years of relevant experience