Zócalo Health - Prior Authorization Specialist

• High school diploma or equivalent required. • 1 + year of prior authorization experience. • Medical & Insurance Knowledge: Fluency in medical terminology and a solid understanding of major payer guidelines. • Strong organizational skills with the ability to manage multiple priorities and high-volume workflows. • Ability to maintain accuracy, confidentiality, and compliance with HIPAA requirements in a remote work environment. • Strong written and verbal communication skills. • Direct experience with Medi-Cal Managed Care Plans • Experience supporting Enhanced Care Management (ECM), Community Health Worker (CHW), and Community Support (CS) Services. • Experience working with electronic health record and practice management systems, including Athena. • Strong understanding of prior authorization workflows, including clinical review, coding accuracy, submission, denial management, appeals, and follow-up • What you can expect from Zócalo Health • Competitive salary: $25 per hour • Equity compensation package • Comprehensive benefits including medical, dental, and vision • Generous PTO policy (up to 15 days per year for FT employees) • $1,000 home office stipend • We provide the equipment needed for this role. • Opportunity for rapid career progression with plenty of room for personal growth. • You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S. • At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. • Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.