Insurance Authorization Coordinator

• Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness
• Monitor and follow up on pending and denied authorizations to secure approvals efficiently
• Collaborate with clinical and administrative teams to collect and verify required medical documentation
• Communicate with insurance companies to resolve issues and obtain necessary approvals
• Maintain compliance with hospital policies, as well as state and federal healthcare regulations
• Accurately record and update information within hospital information systems
• Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process
• Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process
• Handle inbound and outbound calls related to authorization inquiries and resolutions

• Proven experience with retro-authorization processes, preferably in a hospital setting
• Comprehensive understanding of the Treatment Authorization Request (TAR) process
• Strong organizational skills with the ability to manage multiple tasks and deadlines
• Proficiency in healthcare billing and insurance authorization processes
• Excellent written and verbal communication abilities
• Familiarity with hospital information systems and document scanning tools
• Ability to work collaboratively with diverse teams and departments
• Knowledge of Medi-Cal and other health insurance coverage policies is a plus

Knowledge of Medi-Cal and other health insurance coverage policies is a plus

• medical, vision, dental, and life and disability insurance
• enrollment in company 401(k) plan