Insurance Authorization Specialist

East Bay Child Development Center
San Leandro, California

Position Overview

We are seeking a detail-oriented Authorization Specialist to join our pediatric therapy team on a part-time basis. This role is essential in ensuring our young clients receive timely access to therapeutic services by managing insurance authorizations and maintaining compliance with payer requirements.

Key Responsibilities:

Insurance Authorization Management

• Obtain and track prior authorizations for speech & feeding therapy and ABA services.
• Submit authorization requests to insurance companies, Medi-Cal, and other payers
• Follow up on pending authorizations and resolve any issues or denials
• Maintain accurate records of authorization status, expiration dates, and approved visit counts
• Coordinate with clinical staff to ensure services align with authorized treatment plans

Documentation and Compliance

• Review referrals and clinical documentation to ensure authorization requirements are met
• Verify patient insurance eligibility and benefits
• Communicate authorization status and coverage limitations to families and clinical team
• Maintain organized filing systems for authorization documentation
• Ensure compliance with HIPAA and other regulatory requirements

Communication and Coordination

• Serve as primary liaison between insurance companies, families, and clinical staff regarding authorization matters
• Provide exceptional customer service to families navigating insurance processes
• Assist families in understanding their insurance benefits and coverage

Required Qualifications

• High school diploma or equivalent
• 1 year of experience in medical insurance, healthcare administration, or related field
• Strong knowledge of insurance authorization processes and medical terminology
• Experience with pediatric healthcare or therapy services preferred
• Proficiency in electronic health records (EHR) systems and Google Workspace
• Excellent written and verbal communication skills with friendly phone personality
• Strong attention to detail and organizational abilities
• Self-starter who can work independently and manage multiple priorities
• Positive attitude and eagerness to learn new processes and systems

Preferred Qualifications

• Experience with California Medicaid (Medi-Cal) and Regional Center systems
• Background in pediatric therapy services
• Bilingual capabilities (Spanish highly preferred given our community demographics)

Schedule and Compensation

• Part-time position: 20-25 hours per week
• Flexible scheduling
• Competitive hourly wage commensurate with experience
• Professional development opportunities

Why Join East Bay Child Development Center?

• Make a meaningful impact in the lives of children and families
• Collaborative, supportive work environment
• Opportunity to grow within a expanding pediatric practice
• Flexible work-life balance with part-time schedule

How to Apply

Please submit your resume and cover letter explaining your interest in supporting pediatric therapy services. Include any relevant experience with insurance authorizations or healthcare setting.

East Bay Child Development Center is an equal opportunity employer committed to creating an inclusive environment for all employees.

Job Type: Part-time

Pay: $22.00 - $25.00 per hour

Expected hours: 20 per week

Benefits:

• 401(k)
• Flexible schedule

Ability to Commute:

• San Leandro, CA 94578 (Required)

Work Location: In person

Salary : $22 - $25