Senior Care Payer Authorization Specialist

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

Benefits offered by this job

Competitive salary

Daytime schedule

Comprehensive benefits

401(k) plan

Paid training

Quiet work environment

Job summary

All Seniors Foundation in Los Angeles, CA is seeking an Insurance Authorization Specialist to obtain prior authorizations from Medi-Cal, Medicare Advantage plans, and commercial payers, ensuring timely care for seniors and reducing billing surprises.

You will submit requests for home health, hospice, DME, and outpatient services, verify benefits before care, and document authorizations in our EHR. A high school diploma and 2+ years in this field are required; bilingual candidates are encouraged.

Qualifications

• 2+ years prior-authorization or insurance verification experience.
• Familiarity with Medi-Cal, Medicare Advantage, and major commercial payers.
• Knowledge of ICD-10, CPT, and HCPCS codes.
• Strong phone communication and persistence with payer call centers.
• High school diploma; relevant certificate or associate’s preferred.

Responsibilities

• Submit prior authorization requests for home health, hospice, DME, and outpatient services.
• Verify insurance eligibility and benefits before scheduled care begins.
• Communicate with payer case managers to expedite approvals.
• Document authorization numbers, expiration dates, and visit limits in our EHR.
• Follow up on denied or delayed authorizations including peer‑to‑peer reviews.
• Educate clinical staff on payer‑specific authorization requirements.

Skills

Prior-authorization experience

Insurance verification

Payer knowledge

ICD-10 CPT HCPCS

Phone communication

Persistence

Education

High school diploma

Healthcare admin certificate/associate

Job description

All Seniors Foundation in Los Angeles, CA is seeking an Insurance Authorization Specialist to obtain prior authorizations from Medi-Cal, Medicare Advantage plans, and commercial payers, ensuring timely care for seniors and reducing billing surprises.

You will submit requests for home health, hospice, DME, and outpatient services, verify benefits before care, and document authorizations in our EHR. A high school diploma and 2+ years in this field are required; bilingual candidates are encouraged.