Insurance Authorization Coordinator Job at Robert Half (San Bernardino)

Insurance Authorization Coordinator

We are looking for a highly organized Insurance Authorization Coordinator to sup...

Location

United States , San Bernardino

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

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

Job Responsibility

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

What we offer

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

Insurance Authorization Coordinator

Our client is seeking an Insurance Authorization Coordinator to support a busy s...

Location

United States , North Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience with prior authorizations, precertifications, and insurance verification in a healthcare setting
Working knowledge of medical insurance processes, including claims, denials, and billing support
Ability to manage payer communication and documentation for procedure- or treatment-related services
Strong organizational skills with a high level of accuracy and attention to detail
Comfortable in a patient-facing administrative role within a fast-paced medical office
Strong communication skills and the ability to work effectively with patients, providers, insurance representatives, and office staff
Experience supporting specialty practice or procedure-based scheduling workflows is preferred

Job Responsibility

Obtain and track prior authorizations and precertifications for scheduled procedures and services
Verify insurance eligibility, benefits, and coverage details prior to appointments or procedures
Coordinate with internal staff to support scheduling activities and related insurance approval processes
Review payer responses, claim issues, or denials to identify items needing follow-up or additional documentation
Maintain accurate records of authorization status, payer communication, and patient account updates in office systems
Support patient check-in and check-out processes, including confirming registration and insurance information
Provide general administrative support to help maintain efficient daily office operations

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Insurance Authorization Coordinator

We are looking for a detail-oriented and organized Insurance Authorization Coord...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1–3 years of experience in prior authorization, medical billing, insurance verification, or similar healthcare roles
Comprehensive knowledge of commercial insurance, Medicaid, Medicare, and payer-specific processes
Proficiency in healthcare systems such as Epic, Cerner, or Athena, along with experience using payer portals
Strong communication skills and exceptional customer service abilities
High level of attention to detail and excellent organizational skills
Ability to analyze clinical documentation and understand medical terminology
Experience with high-volume data entry and administrative tasks
Familiarity with insurance verification processes and scheduling operations

Job Responsibility

Review provider orders, clinical records, and insurance guidelines to assess prior authorization requirements
Monitor pending authorizations and follow up to secure timely approvals
Communicate effectively with providers, clinical staff, patients, and insurance representatives to provide updates or request additional documentation
Accurately record all actions, communication, and outcomes related to authorizations within internal systems
Confirm patient insurance coverage and validate benefit eligibility
Identify and report authorization issues or payer-specific trends to management
Assist with appeals and reconsideration processes for denied authorizations
Stay informed about payer regulations, medical necessity standards, and insurance protocols
Collaborate with billing and revenue cycle teams to ensure accurate authorization data is included with claims

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Insurance Authorization Coordinator

We are looking for a meticulous and detail-oriented Insurance Authorization Coor...

Location

United States , Cincinnati

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Strong knowledge of medical terminology, coding, and credentialing, along with AR/follow-up expertise
Proficiency in insurance follow-ups and management for Medicaid, Medicare, and commercial insurance
Advanced clerical and data entry skills with a focus on accuracy and efficiency
Familiarity with Microsoft Office applications, including Word, Excel, and Outlook
Exceptional analytical skills with the ability to solve problems, implement solutions, and manage time effectively
Excellent oral, written, and interpersonal communication skills
Ability to prioritize tasks, manage multiple responsibilities, and meet deadlines in a fast-paced environment

Job Responsibility

Process and manage accounts receivable for various funding sources, ensuring accurate posting, summarizing, and reporting
Conduct follow-ups on unapplied payments for assigned payors and coordinate refunds in compliance with payer guidelines
Address client inquiries related to account balances and payments, including answering incoming calls as needed
Assist with daily operations such as opening, scanning, and storing mail efficiently
Update accounts with insurance card receipts and perform financial audits related to billing activities
Implement organizational policies and procedures to maintain compliance and operational standards
Maintain strict confidentiality and adhere to all company guidelines and regulations
Participate in staff meetings, training sessions, and supervision events to stay informed and enhance skills
Ensure proper use and care of organizational supplies and equipment, contributing to a conscientious work environment

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Health Insurance Authorization Coordinator IV

Provides accurate financial clearance and patient financial account management r...

Location

United States of America , Rochester

Salary:

21.71 - 29.31 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and 3 years of related experience required
Associate's degree preferred
High degree of professionalism and motivation with excellent written and verbal communication and customer service skills required
Ability to work independently, as well as in a team environment required
Flexibility to be on call and work other assigned hours, weekends required
Extensive knowledge and comprehension of ICD-10 and CPT coding, medical terminology, and insurance standards and regulations preferred
Strong computer skills and ability to type 45 words per minute preferred
Position may be subject to membership and certification with the Transplant Financial Coordinators Association upon hire preferred

Job Responsibility

Provides accurate financial clearance and patient financial account management related to inpatient and outpatient services
Follows patients through their course of treatment to ensure payment for the service, as well as coverage for the necessary medications and/or post-operative equipment
Responsible for the analysis, validation and regulatory and compliance activities associated with the financial clearance process
Mitigates the financial risk to URMC by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor-specific benefits and patient liability
Creates a professional and effective customer-oriented environment by obtaining pertinent demographic information, explaining insurance benefits and limits, informing patients of the anticipated costs of services, patient liability, and patient responsibilities, explaining billing policies, and discussing financial options
Advises and guides patients on switching insurance carriers, when applicable, to ensure the best coverage for both patient and hospital/provider reimbursement
Assists patients and their family with insurance questions and resolution of billing issues
Performs crisis intervention when financial issues arise pre- and post-treatment
Obtains benefits and pre-certification along with all other billing requirements
Maintains updated knowledge of hospital contract for in and out-of-network payers

Fulltime

New

Client Authorization Coordinator

Client Authorization Coordinator (CAC) – Aveanna Healthcare is a leading nationa...

Location

United States , Richmond

Salary:

17.00 - 19.00 USD / Hour

Aveanna Healthcare

Expiration Date

Until further notice

Requirements

College degree preferred
Ability to demonstrate leadership capabilities with aptitude to manage and place multi-disciplined health care staff
Public relations ability, interpersonal skill, professional telephone manner
Organized, flexible, attention to detail
Knowledge of health care preferred
Business decorum and appearance
Supportive of team concept
6 months of data entry and customer service experience OR 1 year of previous work with insurance

Job Responsibility

Tracks and Submits Clinical Documentation, Evaluations, Re-Evaluations and Physician Orders to their respective signing physician
Tracks and Submits discharge orders
Tracks and Submits all necessary information to the patient's insurance company
Communicates to all appropriate staff when orders/authorizations received
Adheres to GLS SOPs for orders and authorizations
Conducts initial insurance verification to ensure referral has the appropriate funding source
Communicates all therapy referrals to Therapy CSC after conducting initial insurance verification
Notifies appropriate supervisor when therapy orders are outside of acceptable collection time
Documents and ensures accurate information within Aveanna-based software the status of Evaluation and Treatment orders, TP-1, TP-2, Plan of Care, and Authorizations
Communicates and coordinates with appropriate departments when necessary paperwork is needed from respective physician's offices

What we offer

Health, Dental, Vision, and Company-paid Life Insurance
Paid Holidays, Paid Vacation Days, Paid Sick Days
Fun Day and Inclusion Day
Monthly Cell Phone Stipend and Bonus Potential
Mileage reimbursement
401(k) Savings Plan with Employer Matching
Employee Stock Purchase Plan with Employee Discount
Tuition Discounts and Reimbursement Program (conditions apply)
Nationwide Footprint w/advancement opportunities
Awards and Recognition Program

Fulltime

Insurance Coordinator

We are looking for an Insurance Coordinator to support insurance-related workflo...

Location

United States , San Jose

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Hands-on experience with medical insurance verification in a healthcare or service-related environment
Working knowledge of prior authorizations, insurance referrals, and payer eligibility review processes
Ability to interpret insurance benefits, coverage terms, and authorization requirements with accuracy
Strong attention to detail and the ability to manage multiple verification tasks in a fast-paced setting
Effective verbal and written communication skills for interacting with patients, team members, and insurance contacts
Proficiency in documenting insurance activity clearly and maintaining organized records
Familiarity with medical insurance processes and standard coordination practices

Job Responsibility

Confirm active medical coverage and benefit details with insurance carriers before services are scheduled or delivered
Obtain required prior authorizations and referrals to prevent delays in service and support timely care coordination
Review payer guidelines and plan rules to determine eligibility, coverage limits, and out-of-pocket responsibilities
Communicate with internal teams, patients, and insurance representatives to resolve verification issues and missing information
Maintain complete and accurate records of insurance activity, authorization status, and follow-up actions in appropriate systems
Track pending approvals and proactively follow up with payers to ensure decisions are received within expected timeframes
Escalate complex coverage or authorization concerns when additional review or intervention is needed

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services

What we offer

paid time off
medical health insurance
dental
vision
life insurance
401(k) plan

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Insurance Authorization Coordinator

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