Prior Authorization Navigator

LSMA Management Inc; San Bernardino (CA); On-site; USD 36,000 - 40,000; Full time

Job summary

LSMA Management Inc. seeks a detail‑oriented Prior Authorization Coordinator to support the Utilization Management department. You will facilitate administrative components of the prior authorization process, ensuring accurate data entry, eligibility checks, and documentation management.

The role requires coordination with providers, health plans, and clinical staff to promote timely authorizations and continuity of care. Minimum: High School diploma; 1 year healthcare administrative experience.

Qualifications

• High School diploma or equivalent required.
• Preferred: Medical Assistant diploma or related healthcare degree.
• Minimum: 1 year administrative healthcare experience.
• Preferred: experience with utilization management and prior authorization processes.
• Knowledge of CPT, ICD-10, HCPCS a plus.

Responsibilities

• Support Utilization Management by handling prior authorization processes.
• Ensure accurate data entry and complete documentation for requests.
• Coordinate with providers, health plans, and clinical staff.
• Maintain compliance with regulatory and organizational requirements.
• Assist in preparing authorization requests for clinical review.

Skills

Data entry

Attention to detail

Time management

Communication

Customer service

Multitasking

Professional communication

Team collaboration

Education

High School diploma

Medical Assistant diploma

Healthcare administration degree

Tools

Microsoft Word

Microsoft Excel

Outlook

Electronic medical records (EMR)

Job description

LSMA Management Inc. seeks a detail‑oriented Prior Authorization Coordinator to support the Utilization Management department. You will facilitate administrative components of the prior authorization process, ensuring accurate data entry, eligibility checks, and documentation management.

The role requires coordination with providers, health plans, and clinical staff to promote timely authorizations and continuity of care. Minimum: High School diploma; 1 year healthcare administrative experience.