Authorization Specialist

Irvine, CA 92814

Employment Type: Temp-to-Hire Category: Healthcare Job Number: [SA] Medical Appeals/ Medical Collections/ Authorization/ Certification/TAR Pay Rate: $20.00-$23.00

Seeking applicants with strong appeal background in medical billing


  • You will be responsible for follow up on insurance claims after the initial sent claim in order to facilitate payment from the appropriate source in a timely manner
  • Sorts and Responds timely and accurately to all incoming insurance correspondence and inquiries
  • Responds to all phone calls from other departments or insurance companies in an efficient and courteous manner
  • Updates patient accounts based on verified information from the patient/guarantor or other valid method
  • Prepares correspondence to payer as necessary
  • Utilize Passport and/or other methods of insurance verification as appropriate
  • Verify eligibility and insurance benefits for old billing patients to ensure appropriateness
  • Research/calls on accounts and determine the nature of any problem in payment on the account when required
  • Ensure that all conditions for payment receipt have been satisfied, which includes, accurate charges and payer category; ; claims address; ICD9 & ICD10, and HCPCS coding; patient insurance eligibility, patient benefit coverage; patient responsibility

Education: High school diploma or equivalent (GED) required / Secondary school: Preferred certification from a course in: Medical Billing & Coding

2 years experience authorization/certification/TAR information

Ability to work Over Time when needed


Work Environment / Disclaimer

  • Work Environment: Moderate noise levels due to call center operations. Frequent interruptions are common. Office temperatures are controlled and comfortable.
  • Disclaimer:   The Job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change
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