New

Prior Authorization Representative

TEKsystems
$25.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Northridge
Jun 10, 2025
We are hiring an entry-level Prior Authorization Representative! Job Description A Prior Authorization Representative is responsible for efficiently and accurately processing prior authorization requests. This role ensures timely and appropriate access to care while adhering to utilization management policies. Responsibilities * Handle prior authorization requests from providers, patients, and internal departments. * Verify eligibility, benefits, and collect necessary documentation for requests. * Maintain quality control by ensuring accuracy in processing and identifying potential errors. * Provide clear and accurate information to patients regarding their prior authorization requests. Essential Skills * Risk management * Project coordination * Care coordination * HMO Insurance * Authorizations * Insurance Verification * Data Entry * Utilization Management Process Additional Skills & Qualifications * Strong organizational skills and attention to detail. * Ability to prioritize tasks effectively. * Excellent communication and interpersonal skills. * Ability to work independently and as part of a team. * Proficiency in computer software and data management systems. * Knowledge of healthcare and managed care principles. * Experience with prior authorization processes is preferred. * High school diploma or equivalent required; associate's degree preferred. * Ability to handle confidential information and maintain HIPAA compliance. Why Work Here? Join a team that values precision, quality, and patient care. Enjoy opportunities for professional growth while working in a supportive environment. If you're interested, APPLY NOW and EMAIL your updated resume to sstaso @ actalentservices.com! Pay and Benefits The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Northridge,CA 91330. Application Deadline This position is anticipated to close on Jun 23, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.