| Location | Irwindale, CA |
| Salary | $18.59–$30.97 Per Hour |
Job Title: Accounting/Finance- Financial Clearance Specialist III
Location: Irwindale, CA
Job Type: 6-month contract, W2
Expected hours per week: 40 hours per week
Schedule: Onsite, Monday-Friday, 8am-5:00pm
Pay Range: $18.59-$30.97 per hour
Job Description:
Position Summary
We are seeking an experienced Prior Authorization Specialist with a strong background in healthcare insurance verification and authorization processing, preferably within an oncology or cancer hospital setting. This role is responsible for reviewing insurance coverage, submitting and tracking prior authorizations, and helping ensure patients receive timely approval for scheduled services and treatments.
Key Responsibilities
Submit, review, and follow up on prior authorization requests for oncology-related services and treatments.
Perform insurance eligibility and benefits verification and identify authorization requirements.
Use Epic EMR to review patient information, document authorization activity, and maintain accurate records.
Navigate major insurance payer web portals to submit requests, verify benefits, check authorization status, and obtain necessary insurance information.
Communicate with insurance carriers, clinical teams, and other internal departments to resolve authorization or coverage issues.
Review authorization documentation for completeness and accuracy and follow up on outstanding or pending requests.
Maintain accurate documentation and communicate authorization status or coverage concerns to appropriate team members.
Utilize Microsoft Teams, Outlook, Excel, and Adobe Acrobat Pro for daily documentation and communication.
Required Qualifications
5–10 years of relevant healthcare experience.
Recent hands-on experience with Epic EMR.
Strong experience submitting and reviewing prior authorizations within a cancer hospital or oncology environment.
Experience with insurance eligibility and benefit verification.
Experience navigating major insurance plan/payer web portals.
Strong understanding of healthcare insurance and authorization processes.
Proficiency with Microsoft Teams, Outlook, Excel, and Adobe Acrobat Pro.
Strong attention to detail, organization, and follow-up skills.
Ability to work effectively with insurance carriers, clinical staff, and administrative teams.
Top Skills
Epic EMR
Oncology Prior Authorizations
Insurance/Benefits Verification
Insurance Payer Portals
Authorization Review & Follow-Up
Benefits: 80 hours paid time off, medical insurance contributions, dental vision and our 401k retirement savings plan available.
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