290,000+ live roles 15,000+ active employers ✦ 1,900+ posted in 24h California market · 22,406 jobs Texas market · 19,966 jobs Florida market · 17,443 jobs New York market · 14,610 jobs California jobs · 22,406 Texas jobs · 19,966 Florida jobs · 17,443 New York jobs · 14,610 Healthcare · 133,498 jobs Patient Care · 121,198 jobs BLS · 57,601 jobs Registered Nurse · 52,476 jobs CPR · 26,286 jobs Documentation · 26,149 jobs 290,000+ live roles 15,000+ active employers ✦ 1,900+ posted in 24h California market · 22,406 jobs Texas market · 19,966 jobs Florida market · 17,443 jobs New York market · 14,610 jobs California jobs · 22,406 Texas jobs · 19,966 Florida jobs · 17,443 New York jobs · 14,610 Healthcare · 133,498 jobs Patient Care · 121,198 jobs BLS · 57,601 jobs Registered Nurse · 52,476 jobs CPR · 26,286 jobs Documentation · 26,149 jobs

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Job detail

Prior Authorizations Specialist

UNITED MEDICAL DOCTORS MASTER

Employer page

#EMR #Urology #Medical Billing #Healthcare Administration #Managed Care #Medicare #EHR #Availity #Insurance Eligibility #Pain Management #Cardiology #Imaging Studies

Full Time On Site 2-5 yrs$23 - $28 / HOURPosted 23 days agoCloses Jul 21

Location

Carlsbad, California

Salary

$23 - $28 / HOUR

Quick overview

Submit and track prior authorization requests across multiple medical specialties and clinic locations. Coordinate with providers and insurance carriers to ensure timely approvals and maintain accurate EMR documentation.

Requirements summary

Requires at least 3 years of prior authorization experience in a medical setting with knowledge of various insurance plans. Proficiency in using insurance portals and EMR systems is essential.

Written CommunicationVerbal CommunicationTime ManagementMedical BillingInsurance VerificationPatient Care CoordinationPayer GuidelinesPrior AuthorizationInsurance PortalsEMR/EHRClaims AppealsMulti-specialty Coordination

Job description

Job DetailsLevel

ExperiencedJob
Location: 6125
Paseo
Del
Norte
Ste 130 -
Carlsbad,
CA 92011Position
Type:
Full
TimeSalary
Range: $23.00 - $28.00 Hourly We are seeking an experienced and detail-oriented Prior Authorization Specialist to join our growing team. The ideal candidate will have extensive knowledge of insurance authorization processes across multiple specialties and the ability to manage high-volume requests for several clinic locations. This role requires a proactive professional who can work independently, communicate effectively with providers and insurance carriers, and ensure timely approvals to support quality patient care.
Responsibilities
Submit and track prior authorization requests for: GI procedures Pain management services Imaging studies Urology and cardiology services as needed Verify insurance eligibility and benefits Obtain and document authorizations accurately and efficiently Follow up with insurance companies regarding pending, delayed, or denied requests Coordinate with physicians, clinical staff, and scheduling teams across multiple locations Maintain accurate documentation within the EMR system Ensure compliance with payer guidelines and company policies Assist with appeals, reconsiderations, and peer-to-peer coordination when necessary Prioritize urgent requests while maintaining high accuracy standards Utilize insurance and imaging/pre-certification portals to process and manage authorizations, including platforms such as Availity, RadMD, eviCore, Carelon/AIM, and other payer-specific portals Qualifications Minimum 3+ years of prior authorization experience in a medical setting Experience handling multiple specialties required Strong understanding of commercial insurance, Medicare, Medi-Cal, and managed care plans Knowledge of GI, pain management, imaging, urology, and cardiology authorizations preferred Familiarity with imaging and pre-certification insurance portals such as Availity, RadMD, eviCore, AIM/Carelon, and payer-specific portals Ability to manage authorizations for multiple clinic locations simultaneously Excellent organizational and time-management skills Strong verbal and written communication skills EMR/EHR experience required Ability to work independently and in a fast-paced environment