12 results for Insurance Authorization Specialist in Irvine, CA

Insurance Verification Specialist

Torrance, CA
onsite
Temporary
21 - 30 USD / Hourly
We are seeking an Insurance Verification Specialist to join a dynamic healthcare team in Los Angeles, California. This position is ideal for professionals who excel in a fast-paced medical setting and are committed to ensuring accurate and efficient patient insurance processing. The Insurance Verification Specialist plays a vital role in supporting patient access to care and helping the clinic maintain smooth, compliant operations. Key Responsibilities:<ul><li>Verify patient insurance coverage and eligibility with carriers for medical services.</li><li>Obtain pre-authorizations or referrals as required by insurance providers.</li><li>Accurately document insurance details and update patient records in the system.</li><li>Communicate benefit information, coverage details, or out-of-pocket requirements to patients as needed.</li><li>Collaborate with clinical and administrative staff to resolve insurance issues and support timely patient scheduling.</li><li>Assist with claim submissions by ensuring all required information is documented and filed appropriately.</li><li>Maintain strict compliance with HIPAA regulations and office confidentiality standards.</li><li>Support the front office team by answering patient or carrier questions and handling related administrative tasks.</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-12T00:00:00Z

Prior Authorization

Brea, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a dedicated and detail-oriented Prior Authorization Clerk to join our team in Brea, California. This long-term contract position requires someone who excels in customer service and has experience in sales-related activities such as promotional sales and making sales calls. If you are organized, proactive, and thrive in a fast-paced environment, we encourage you to apply. Key Responsibilities:• Handle patient admissions efficiently and with a focus on providing excellent customer service.• Conduct outbound sales calls to promote services and engage potential clients.• Assist in managing promotional sales campaigns to drive customer interest.• Collaborate with team members to ensure smooth operational processes.• Maintain accurate records and documentation related to admissions and sales activities.• Communicate effectively with patients and staff to address inquiries and resolve issues.• Ensure compliance with organizational policies and procedures during all processes.• Provide superior customer service by addressing client needs promptly and professionally.• Identify opportunities to improve workflows and enhance patient satisfaction.• Support the team in achieving departmental goals and objectives. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-20T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
Contract / Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-03-23T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-03-20T00:00:00Z

Payments Claim Specialist

Los Angeles, CA
onsite
Temporary
20 - 23 USD / Hourly
We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes. Responsibilities:• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.• Monitor and enforce compliance with regulatory requirements related to claim administration.• Prepare detailed reports and metrics to track progress and performance.• Collaborate with clients to address concerns and maintain strong relationships.• Perform quality checks on claims to ensure accuracy and compliance with procedures.• Review ledgers, debits, and credits to identify and address discrepancies.• Support fraud investigations by analyzing claims and payment processes.• Maintain organized records and documentation for auditing and reporting purposes.
2026-03-11T00:00:00Z

Credentialing Specialist

West Hollywood, CA
onsite
Temporary
25 - 45 USD / Hourly
The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.<ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:00:00Z

Auditing Specialist

Pasadena, CA
onsite
Contract / Temporary to Hire
23.75 - 27.5 USD / Hourly
We are looking for a detail-oriented Auditing Specialist to join our team in Pasadena, California, on a Contract to permanent employment basis. This role involves supporting the Payroll Compliance Audit department by managing administrative tasks, processing audit data, preparing official correspondence, and ensuring timely audit closures. The ideal candidate will thrive in a fast-paced environment and demonstrate consistent accuracy in their work while collaborating across departments. Responsibilities: • Draft, edit, and distribute official correspondence, ensuring completion within one business day of request. • Collect necessary data from Pension Accounting and provide it to the requesting party promptly. • Update various systems, including Digital Shelves, Letters Log, and T2, following audit closures. • Prepare audit submissions for review, billing, and processing with attention to detail. • Calculate interest amounts upon request and log audit payments accurately. • Submit audit closures and release related transmittal forms within specified timelines. • Respond to Imaging requests by collecting files and coordinating with the Data Maintenance team for archiving. • Record and communicate task progress through workflow tracking systems to ensure transparency. • Coordinate with peers, supervisors, and department leadership to maintain smooth workflows. • Manage supply orders to ensure adequate stock levels and occasionally assist with additional audit processing tasks.
2026-03-18T00:00:00Z

Medical Billing Support Services Associate

Los Angeles, CA
onsite
Temporary
22.65 - 29.7 USD / Hourly
A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.(This position will be a hybrid/remote role) Responsibilities:• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.• Reverse balances and adjust credits or debits to correct billing errors and payment applications.• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.• Address issues related to payment postings or refunds and communicate updates to management.• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.
2026-03-20T00:00:00Z

Benefits Analyst

Cheviot Hills, CA
remote
Temporary
35 - 50 USD / Hourly
We are looking for an experienced Benefits Analyst to join our team on a contract basis. This role involves managing and optimizing employee benefits programs, with a particular focus on self-funded plans and ensuring compliance with relevant regulations. The ideal candidate will have experience working with self-funded plans, UKG, Plansource and will have experience with complex benefit programs. Previous experience working with both domestic and international employees is particularly helpful. Responsibilities:• Oversee and administer employee benefits programs, including self-funded health plans, ensuring smooth operations and compliance.• Serve as the subject matter expert for benefits platforms, managing system configurations, maintaining accurate data, and resolving technical issues.• Conduct detailed audits and reconciliations to ensure accuracy and compliance with benefits policies.• Support the annual open enrollment process, including vendor coordination and communication development.• Analyze benefits data to identify trends, project costs, and inform decision-making.• Ensure compliance with regulatory requirements related to benefits programs.• Collaborate with HR, Payroll, and Finance teams to align benefits administration with organizational goals.• Develop and present reports on benefits utilization and program effectiveness.• Provide guidance to employees regarding benefits options and address inquiries effectively.• Assist in managing vendor relationships to ensure service quality and cost-efficiency.
2026-03-19T00:00:00Z

Medical Billing Support Services

Los Angeles, CA
onsite
Temporary
25.65 - 29.7 USD / Hourly
We are looking for an experienced Medical Billing Support Services to join a Hospital in Los Angeles, California. The Medical Billing Support Services play a critical part in ensuring the efficiency and accuracy of cash receipt processing, billing, and collections within the healthcare industry. This position offers an opportunity to work collaboratively across departments to optimize revenue cycle operations while maintaining compliance and quality standards. The Medical Billing Support Services will be a hybrid remote role. Responsibilities:• Process cash receipts, both automated and manual, ensuring accuracy and adherence to billing systems and procedures.• Investigate and resolve issues related to unapplied cash receipts, escalating complex cases when necessary.• Review and analyze patient eligibility and pending recoupment statuses to take appropriate actions.• Evaluate credit balances and issue timely refunds to payers with accuracy.• Collaborate with Finance and other Revenue Cycle teams to improve cash posting, reconciliation, and balancing processes.• Communicate payment posting and refund-related issues to management for prompt resolution.• Verify payer information, resubmit claims, and ensure proper application of payments.• Perform cross-trained tasks such as charge entry, insurance eligibility verification, and resolving billing edits.• Handle customer service interactions, addressing patient payment concerns and resolving self-pay credit balances.• Participate in special projects, including audits, compliance reviews, and unique billing and collections scenarios.
2026-03-23T00:00:00Z

Compensation & Benefits Specialist

Torrance, CA
onsite
Temporary
50 - 60 USD / Hourly
Robert Half Management Resources is seeking a Total Rewards Compensation Specialist for our manufacturing client on a hybrid contract based in South Bay, Los Angeles, with a duration of three months or more. This role combines compensation operations, stock-based rewards, data integrity, and job architecture responsibilities in a dynamic, fast-paced environment with a startup feel. The ideal consultant excels in navigating ambiguity, establishing structure, and delivering high-quality analysis to inform both strategic and operational compensation decisions. Responsibilities:• Manage annual merit increase cycles and administer bonus programs for various employee groups, including cash and stock-based bonuses.• Prepare detailed compensation files, modeling stock-based awards, dilution effects, and projected values.• Support the administration of equity programs, including RSUs and stock-settled bonuses, ensuring accurate reporting and communication.• Collaborate with Finance to align valuation assumptions and maintain the integrity of compensation programs.• Conduct workforce analytics and compensation calculations using advanced Excel functions, including light automation and macro creation.• Handle and reconcile compensation data for international employees, ensuring accuracy and consistency in reporting.• Lead or contribute to job hierarchy projects, establishing job families, titles, and leveling frameworks to enhance pay structures and career paths.• Analyze pay trends, job leveling, and employee attrition to provide actionable insights.• Ensure compliance with company and regulatory requirements, preparing documentation for audits and maintaining governance practices.• Develop and maintain alignment with the organization’s compensation philosophy, ensuring financial models support program objectives.
2026-02-28T00:00:00Z

Compensation & Benefits Specialist

Glendale, CA
onsite
Temporary
45 - 55 USD / Hourly
We are looking for an experienced Compensation & Benefits Specialist to join our team on a long-term contract basis. This role is based in Glendale, California, and offers an exciting opportunity to contribute to the development and management of competitive compensation and benefits strategies. The ideal candidate will have a strong background in data analysis, salary benchmarking, and regulatory compliance, along with excellent communication skills. Responsibilities: • Conduct thorough market research to gather and analyze compensation data, providing insights to guide salary decisions. • Evaluate internal pay structures to ensure equity and compliance with federal, state, and local regulations. • Manage and update compensation databases, preparing detailed reports on pay trends and structures. • Support annual compensation planning cycles, including job evaluations and salary reviews. • Assist in the administration of salary, bonus, and incentive programs, ensuring alignment with organizational goals. • Collaborate with HR and business leaders to develop strategies that attract and retain top talent. • Provide expert guidance to managers on compensation-related matters, including policy interpretation and pay adjustments. • Analyze benefits programs and coordinate with stakeholders to ensure effective implementation. • Monitor compliance with leave policies, such as FMLA, and provide support in related benefit functions. • Identify areas for improvement within compensation and benefits programs and recommend actionable solutions.
2026-03-03T00:00:00Z