Prior Authorization Pro: Streamline Healthcare Approvals

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

Job summary

LSMA Management Inc is seeking a Prior Authorization Coordinator to support the Utilization Management department in processing prior authorizations, verifying eligibility, and managing documentation within an MSO setting.

You will coordinate with providers, health plans, and clinical staff to prepare requests for clinical review, ensure completeness, maintain regulatory compliance, and help maintain timely, accurate authorization workflows.

Qualifications

• Minimum: High School diploma or equivalent required.
• Preferred: Medical Assistant diploma or Associate’s degree in healthcare administration, business administration, or related field preferred.
• Basic knowledge of medical office procedures and managed care processes.

Responsibilities

• Support administrative components of the prior authorization process.
• Data entry accuracy and eligibility verification.
• Prepare authorization requests for clinical review and coordinate between providers, health plans, and clinical staff.
• Assist in maintaining compliance with regulatory and organizational requirements.

Skills

Data entry

Multitasking

Communication

Confidentiality

Teamwork

Education

High School diploma or equivalent

Medical Assistant diploma or Associate’s degree in healthcare administration

Tools

Microsoft Office

EMR systems

Job description

LSMA Management Inc is seeking a Prior Authorization Coordinator to support the Utilization Management department in processing prior authorizations, verifying eligibility, and managing documentation within an MSO setting.

You will coordinate with providers, health plans, and clinical staff to prepare requests for clinical review, ensure completeness, maintain regulatory compliance, and help maintain timely, accurate authorization workflows.