Add your latest resume to match with open positions.

4 results for Denials Specialist in Irvine, CA

Medical Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
25 - 28.71 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-07-14T00:00:00Z

Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
25 - 27 USD / Hourly
We are seeking a detail-oriented and patient-focused Authorizations Specialist to join our hospital team. In this role, you will be responsible for obtaining and managing insurance authorizations for outpatient and inpatient services while ensuring compliance with payer requirements. The ideal candidate has strong knowledge of medical insurance, excellent communication skills, and the ability to thrive in a fast-paced healthcare environment. Essential Responsibilities: * Obtain prior authorizations and pre-certifications from commercial, Medicare, Medicaid, and managed care insurance plans.* Verify patient insurance eligibility, benefits, and coverage requirements.* Review physician orders and clinical documentation to ensure authorization requests meet payer guidelines.* Submit authorization requests accurately and follow up to secure timely approvals.* Communicate authorization status to physicians, clinical staff, scheduling teams, and patients.* Monitor pending authorizations and resolve issues that may delay patient care.* Document all authorization activity in the electronic medical record (EMR) and other applicable systems.* Coordinate with insurance companies to appeal denied or delayed authorization requests when appropriate.* Maintain current knowledge of payer policies, authorization requirements, and regulatory guidelines.* Provide exceptional customer service while maintaining patient confidentiality in accordance with HIPAA regulations.* Perform other duties as assigned.
2026-07-13T00:00:00Z

Hospital Admitting Specialist

Tustin, CA
onsite
Temporary / Contract
25 - 29 USD / Hourly
A Hospital in Tustin is in the need of Hospital Admitting Specialist to its Emergency Department team. The Hospital Admitting Specialist will play a pivotal role in ensuring patients are registered efficiently and accurately during critical moments. The Hospital Admitting Specialist will be tasked with admitting patients, collecting demographics and insurance information. This role requires strong communication skills, empathy, and the ability to thrive in a fast-paced healthcare environment. Responsibilities:• Welcome patients and their families to the Emergency Department with professionalism and empathy.• Collect and validate patient demographic and insurance information to ensure accuracy.• Obtain and securely scan necessary documents, including identification and insurance cards.• Explain financial responsibilities such as co-payments and assist patients with payment collection.• Accurately input patient data into the electronic health record system.• Collaborate with clinical staff to facilitate smooth patient flow and minimize delays.• Address patient and visitor inquiries with a calm and supportive demeanor.• Adhere to hospital policies and maintain compliance with organizational standards.• Perform additional administrative tasks as required to support the department. Schedule: 40 hours/week; rotating weekendsShift: 2:00pm – 10:30pm
2026-07-02T00:00:00Z

Routing Specialist

South Gate, CA
onsite
Temporary / Contract
22 - 24 USD / Hourly
They are seeking a detail-oriented Routing Specialist to support daily transportation operations and ensure the smooth flow of freight. This position focuses heavily on routing efficiency, data tracking, and coordination across teams.Key responsibilities include:<ul><li>Developing and managing efficient routing plans to optimize delivery schedules</li><li>Using advanced Excel functions (pivot tables, VLOOKUPs, reporting) to track shipments and performance</li><li>Coordinating with drivers, dispatchers, and warehouse teams to ensure on-time deliveries</li><li>Monitoring shipments and proactively resolving delays or issues</li><li>Maintaining accurate records of routes, schedules, and transportation costs</li><li>Communicating with internal teams and external partners</li><li>Ensuring compliance with company and industry regulations</li></ul>
2026-07-02T00:00:00Z