Ultilization / Authorizations Specialist

Irvine, CA 92614 | Temp-to-Hire

Job ID: [SA] Home Infusion Category: Healthcare Pay Rate: $20-$28

Home Infusion Authorizations Specialist

We are seeking an Home Infusion Authorizations Specialist who has the ability to work in a deadline driven, fast paced environment, and understands the urgency of these authorizations. You MUST have a minimum of 5 Years experience and know how to convert J Code unit values.

We are a thriving and stable organization offering a fun and supportive atmosphere, where your skills as an Authorization Specialist will be valued! Our department focuses on HCPCS, ICD-10 codes for DME, Physical Therapy, Respiratory, or Oncology including IV Therapies(injectable). 

The Home Infusion Authorizations Specialist will process and request authorizations for IV Therapies.


  • Convert J code unit values
  • Solid working knowledge with HCPC, ICD-10 & CPT codes.
  • Working applications of HCPC codes, Medications and familiar with A, J, S, and T Codes. (home health, hospice, DME, and infusion)
  • Submit online or paper authorizations requests to Medical payers such as Blue Cross, Blue Shield, Aetna, and other PPO & HMO payers. (We work with over 60 contracts).
  • Knowledge of medical billing systems and clearing houses with special emphasis on home health, hospice, and infusion
  • Knowledge of Shared Risk the premiums and losses of each member of a group of policyholders are allocated within the group based on a predetermined formula
  • Comply with Home Health Network Codes of Safe Practice, safety policies and emergency procedures
  • Comply with HIPAA guidelines
  • Possess good computer skills, Microsoft Word, Excel, and Outlook
  • 5 years of experience with billing systems and clearing houses with special emphasis on home health, hospice, and infusion
  • High school diploma or equivalent
  • Working experience with HCPCS codes with a focus on J, A, S, and T codes
  • Schedule: Mon – Fri as early as 8:30 AM – 5:30 and as late as 10 AM to 7PM, with one floating Saturday every 5 weeks from 9-5:30 PM.

We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the California Fair Employment and Housing Act (FEHA).

Apply Online

Not ready to apply?

Send an email reminder to:

Share This Job:

Related Jobs:

© Year Helpmates Staffing Services. All Rights Reserved.
Privacy Statement | Site Map | Site Credits.