Utilization Management Coordinator II

AltaMed • Montebello, CA

2d • Onsite

About The Position

This Coordinator II of Utilization Management is responsible for providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines. This position performs troubleshooting when problem situations arise and takes independent action to resolve complex issues.

Requirements

• High School Diploma or equivalent required.
• Minimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required.
• Prior experience in utilization management, processing authorization referrals is also required.

Nice To Haves

• MA or Medical Billing Certificate preferred.
• Prefer prior Lead position experience.

Responsibilities

• Providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines.
• Performing troubleshooting when problem situations arise.
• Taking independent action to resolve complex issues.

Benefits

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED