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Authorization Specialist

Job

KPC GLOBAL MEDICAL CENTERS INC.

Santa Ana, CA (In Person)

$62,524 Salary, Full-Time

Posted 2 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/28/2026

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Job Description

Authorization Specialist
KPC GLOBAL MEDICAL CENTERS INC. - 2.6
Santa Ana, CA Job Details Full-time $22.38 - $37.74 an hour 1 day ago Qualifications Overseeing health insurance pre-certification Medical scheduling Healthcare referral management Full Job Description SUMMARY Ensures timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.
Duties/Responsibilities:
Ensure timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned. Contacts insurance companies via phone or website to secure authorization. Responsible to review all discharged managed care patients for evidence of authorization entry in the Authorization module. Obtains missing authorizations within 3 business days of patient's discharge or in some cases within 7 days of admission. Responsible for checking bill hold weekly for pending authorizations. Assists with sending delinquent reviews and resending reviews not received by the Payors. Communicate effectively, build and maintain professional, cooperative relationships with Case Management and all departments that have direct or indirect impact on obtaining authorizations. Maintains analysis of authorization issues, by payer. Reports monthly summary for authorization issues to senior leadership. Clearly documents all contacts and authorization information for all types of authorizations in the hospital system, complete standardized documentation requirements in expected format. Follows established hospital policies and procedures regarding authorization processes. Other duties as assigned.
Education and Experience:
High school diploma or combination or relevant experience and education Minimum of two (2) years of experience in a scheduling, authorization and referrals in a health care setting
Required Skills/Abilities:
Strong attention to detail Excellent communications skills both oral and written Excellent follow up and follow through skills