Prior Authorization Specialist – Healthcare Utilization

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

Job summary

LSMA Management, Inc. in California is seeking a Prior Authorization Coordinator to support the Utilization Management team. You will handle data entry, eligibility verification, documentation management, and coordination among providers, health plans, and clinical staff to prepare authorization requests.

This role emphasizes accuracy, timely processing, and regulatory compliance within an MSO environment, with opportunities to grow in medical management and utilization workflows.

Qualifications

• Minimum: High School diploma or equivalent.
• Preferred: Medical Assistant diploma or Associate’s degree in healthcare administration, business administration, or related field preferred.

Responsibilities

• Support administrative components of the prior authorization process.
• Ensure accurate data entry and eligibility verification.
• Coordinate between providers, health plans, and clinical staff.
• Maintain documentation and ensure regulatory compliance.

Skills

Data entry accuracy

Multitasking

Communication skills

Confidentiality

Teamwork

Education

High School diploma or equivalent

Medical Assistant diploma or Associate’s degree (healthcare administration/related)

Tools

Microsoft Office

Job description

LSMA Management, Inc. in California is seeking a Prior Authorization Coordinator to support the Utilization Management team. You will handle data entry, eligibility verification, documentation management, and coordination among providers, health plans, and clinical staff to prepare authorization requests.

This role emphasizes accuracy, timely processing, and regulatory compliance within an MSO environment, with opportunities to grow in medical management and utilization workflows.