Prior Authorizations/Medical Assistant

Job DetailsJob Location

• San
• Diego ,
• CA 92111Salary
• Range: $21.00 - $25.00
• HourlyPrior
• Authorization &
• Insurance
• Coordination: Verify insurance eligibility, benefits, and payer requirements for sleep-related services
• Obtain and manage prior authorizations/pre-certifications for: Home Sleep Apnea Testing (HSAT) In-Lab Sleep Studies (Polysomnography) CPAP/BiPAP titration studies Durable Medical Equipment (DME), PAP devices, and supplies Follow-up visits and specialty referrals as needed Submit medical records and clinical documentation to insurance carriers Monitor authorization approvals, denials, renewals, and expiration dates Coordinate peer-to-peer reviews, appeals, and denial resolutions Communicate authorization status and financial responsibility to patients
• Medical
• Assistant
• Duties: Room patients and obtain vital signs, medical history, medication reconciliation, and sleep-related symptom updates Prepare patients for provider visits, consultations, and follow-up appointments Assist providers with examinations, procedures, and patient education Educate patients on sleep study preparation, CPAP/BiPAP compliance, and treatment plans Process prescription refills, DME orders, and provider documentation Maintain exam rooms, supplies, and clinical equipment Support scheduling and coordination of sleep studies and follow-up appointments
• QualificationsQualifications: High school diploma or equivalent required Medical Assistant certification preferred (CMA, RMA, or equivalent per state requirements) 1–3 years of prior authorization, medical assistant, or sleep medicine experience preferred Knowledge of insurance verification, CPT/ICD-10 coding, and payer portals Familiarity with sleep medicine, pulmonology, neurology, or DME processes preferred CPR/BLS certification preferred