Prior Authorization Specialist - Senior Care (Daytime)

All Seniors; Los Angeles (CA); On-site; USD 48,000 - 70,000; Full time

Benefits offered by this job

Comprehensive health benefits

Paid training in payer policies

Predictable hours

Job summary

All Seniors Foundation is seeking an Insurance Authorization Specialist in Los Angeles, CA. This role involves obtaining prior authorizations from Medi-Cal and commercial payers to ensure seniors receive the care they need. Candidates should have over 2 years of experience, knowledge of insurance requirements, and strong communication skills. The position offers a competitive salary ranging from $48,000 to $70,000, along with comprehensive benefits including health, dental, and 401(k).

Qualifications

• 2+ years prior-authorization or insurance verification experience.
• Familiarity with Medi-Cal, Medicare Advantage, and major commercial payers.
• Strong phone communication skills with persistence.

Responsibilities

• Submit prior authorization requests for various services.
• Verify insurance eligibility and benefits.
• Communicate with payer case managers for approvals.

Skills

Prior-authorization experience

Communication with payer call centers

Knowledge of ICD-10, CPT, HCPCS codes

Education

High school diploma

Relevant certificate or associate's preferred

Job description

All Seniors Foundation is seeking an Insurance Authorization Specialist in Los Angeles, CA. This role involves obtaining prior authorizations from Medi-Cal and commercial payers to ensure seniors receive the care they need. Candidates should have over 2 years of experience, knowledge of insurance requirements, and strong communication skills. The position offers a competitive salary ranging from $48,000 to $70,000, along with comprehensive benefits including health, dental, and 401(k).