PreAuthorization Specialist I

Crossfire Group; South Pasadena (CA); On-site; USD 45,000 - 48,000; Part time

Job summary

CrossFire Group in South Pasadena, CA is seeking a Pre-Authorization Specialist I for a 3-month contract. The role focuses on reviewing authorization requests, precertifications, and inpatient admission reviews to ensure appropriate utilization according to medical criteria. The position pays about $21.49 per hour.

It offers a pathway to a direct offer depending on performance. On-site work in South Pasadena, with support to healthcare providers to optimize service use and determine medical

Qualifications

• 1-3 years of relevant experience

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.

Job description

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

Company Description

Using the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group("CrossFire") started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest.

Since our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.