HMO Authorization Specialist

About Us

Centrally located in Torrance, California, Sunnyside Nursing and Post-Acute Care provides sub-acute nursing care, rehabilitation services, skilled nursing, and long-term care. Our compassionate staff offers individualized care plans for each resident to ensure personalized care is provided to all our patients with a goal to return home.

Our team of qualified professionals provides compassionate care by:

• Maintaining high medical integrity
• Fostering a team spirit among staff
• Creating friendly, beautiful surroundings for our residents and their visitors

We understand the importance of creating a comfortable and nurturing atmosphere, whether residents stay for short-term treatment or long-term care.

Job Description

• Acts as the liaison between the clinical staff and the HMO's
• Collect vital information from various departments to be shared with the HMO's
• Verify coverage & benefits with the HMO's to ensure proper compensation
• Assist in ordering equipment, updating HMO tracking calendar and logs, etc.
• Update tracking for therapists, get signatures and approvals for equipment and script
• Obtaining and following up on authorization for services

Requirements

• The ideal candidate will have a clinical background and/or experience in a medical office
• Should understand medical terminology
• Must be able to read or quickly pick up reading clinical charts
• Excellent Microsoft skills - Excel
• Strong written & verbal communication skills
• Experience with Electronic Medical Record programs preferred

Ideal Candidate:

• Bilingual
• Skilled Nursing experience

Shift:

Full-Time

Monday - Friday

8:00am - 5:00pm

Benefits

Why Work for Sunnyside Nursing & Post-Acute Care

• Top of the market wages: $21.00 - $23.00 per hour
• Paid orientation and training
• Opportunities for growth
• Loving and caring work environment

We take great pride in meeting or exceeding CDC and CMS standards. On-site experts provide teaching, coaching, and support on infection prevention practices. In addition, we maintain an abundant supply of PPE, including N95/KN95 masks, for all who provide care and services to our patients and residents. Our multiple testing capabilities, including Point-of-Care (POC) testing, are available at every location and comply with CMS and local guidance

If hired, we require that all employees be vaccinated, unless a medical or religious accommodation is needed.

EQUAL OPPORTUNITY EMPLOYER

We are an equal opportunity employer. We celebrate diversity & pride ourselves on creating an inclusive environment for all employees and residents.