Medical Authorizations Specialist

Robert Half • Los Angeles, CA • 1h ago

Description

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.

Requirements - High school diploma or equivalent is required.

At least 2 years of experience handling insurance authorizations in a hospital, clinic, medical group, or similar healthcare setting.

Working knowledge of commercial insurance, Medicare, Medi-Cal, managed care, and related payer authorization processes.

Experience verifying eligibility, benefits, referrals, and coverage rules for medical services.

Proficiency with computer systems used in healthcare administration, including electronic medical records and Microsoft Office applications.

Strong organizational skills with the ability to prioritize multiple cases and meet deadlines in a fast-paced environment.

Effective written and verbal communication skills for interacting with patients, insurers, and interdisciplinary teams.

Ability to work independently while also collaborating successfully with clinical and operational staff. TalentMatch®

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .

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