Insurance Authorization Coordinator

• Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information
• Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders
• Partner with care teams and administrative staff to gather clinical records and other required documents needed for review
• Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations
• Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates
• Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices
• Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval
• Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements

• Prior experience handling retro-authorization or insurance authorization work, ideally within a hospital or acute care setting
• Strong working knowledge of Treatment Authorization Request procedures and related payer documentation standards
• Ability to manage multiple cases at once while maintaining close attention to deadlines and detail
• Effective written and verbal communication skills for interacting with insurance payers and cross-functional hospital teams
• Experience reviewing medical or billing documentation to support authorization submissions and follow-up activity
• Proficiency with administrative tasks such as record maintenance, document scanning, and case tracking in healthcare systems
• Must have TAR experience

Familiarity with Medi-Cal, health insurance coverage verification, and healthcare billing processes is strongly preferred

• Medical
• vision
• dental
• life and disability insurance
• 401(k) plan