Chaparral Medical Group Inc · 16 hours ago
Prior Authorization Coordinator
Rancho Cucamonga, CA
Full-time
Onsite
Entry Level
$21/hr - $23/hr
1+ years expChaparral Medical Group is a leading primary and multi-specialty care provider in California’s Inland Empire, now partnered with Akido Labs to enhance healthcare delivery. The Prior Authorization Coordinator will be responsible for requesting prior authorizations, tracking patient referrals, and ensuring compliance with healthcare regulations.
Health CareMedicalPersonal Health
Responsibilities
Request prior authorizations from a variety of health plans for visits, procedures, and referrals
Monitor and track the status of patient referrals, following up with health plans as needed
Maintain accurate and detailed records of patient referrals, including referral forms and documentation of communication
Ensure compliance with documentation and data entry protocols
Verify patient insurance coverage
Provide regular updates to healthcare providers and management on referral trends and issues
Collaborate with healthcare providers and staff to identify opportunities for improving the referral process
Be open-minded to process changes and new technologies
Ensure compliance with healthcare regulations, including HIPAA and relevant state and federal guidelines
Maintain confidentiality and security of patient information
Qualification
Required
High school diploma or equivalent
Knowledge of medical terminology, including CPT and ICD-10 codes
At least 1 year of experience as a Referral Coordinator in any specialty
Strong collaborator with a positive, team-focused mindset
Eager to contribute to a supportive, team-first culture
Company
Chaparral Medical Group Inc
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California’s Inland Empire.
11-50 employees
H1B Sponsorship
Chaparral Medical Group Inc has a track record of offering H1B sponsorships. Please note that this does not
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2025 (1)
2024 (1)
2023 (1)
2022 (2)
2020 (2)
Funding
Current Stage
Early StageCompany data provided by crunchbase