Pre-Authorization Specialist I — Utilization & Admissions

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

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