You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an experienced Authorization Specialist to join their team. The primary responsibilities of this role include obtaining prior authorizations for outpatient radiology imaging, securing insurance approvals for advanced medications, and processing authorizations for infusion therapy. As an integral part of the team, you will actively communicate with insurance providers and collaborate with clinical staff to ensure timely patient care.

Key Responsibilities

• Obtain prior authorizations for outpatient radiology imaging (MRI, CT, Ultrasound, X-ray, PET scans).
• Secure insurance approvals for advanced medications, including biologics, specialty drugs, injections, and high-cost therapies.
• Process and track authorizations for infusion therapy, including oncology, rheumatology, and chronic disease infusions.
• Review clinical documentation, physician orders, and medical necessity requirements before submitting authorization requests.
• Communicate with insurance providers to clarify coverage guidelines, resolve authorization denials, and request peer-to-peer reviews when appropriate.
• Maintain detailed and accurate documentation of authorization status, payer requirements, and communication notes in the EMR and scheduling systems.
• Collaborate with physicians, nurses, pharmacists, and scheduling departments to ensure patients are cleared before appointments.
• Provide timely updates to clinical staff regarding authorization approvals, delays, or additional information needed.
• Verify patient insurance benefits, coverage limits, deductibles, and out-of-pocket requirements.
• Follow up on pending authorizations to prevent treatment delays and ensure timely service delivery.
• Assist in resolving billing issues related to authorization errors, denials, or coverage discrepancies.
• Maintain up-to-date knowledge of payer policies, authorization workflows, and insurance changes.
• Ensure strict adherence to HIPAA confidentiality regulations and organizational compliance requirements.

Qualifications

• Previous Authorizations experience.
• Epic Required.
• Outpatient and Radiology Authorizations experience required.
• Injections Authorization experience preferred.

Skills

• Experience with EMR systems, specifically Epic.
• Strong communication and teamwork skills.

Schedule

9:00 AM - 5:00 PM, Monday to Friday.

Hybrid Schedule - First 2 weeks onsite for training; then switches to 1 day a week in office, which can be flexible.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Our client is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.