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Utilization Management Coordinator I

Remote:

Hybrid

Contract:

Full time

Salary:

44 - 54K yearly

Experience:

Junior (1-2 years)

Work from:

Montebello (US)

Offer summary

Qualifications:

High School Diploma or equivalent required, Medical Assistant or Medical Billing Certificate preferred, Minimum 1 year experience in medical billing, Familiarity with Medi-Cal, CCS regulations, Experience in clinic/health care call center preferred.

Key responsabilities:

Support the Medical Management department
Ensure timely referral/authorization processing
Perform troubleshooting for problem situations
Coordinate with leadership on issues
Assist with authorization referrals management

AltaMed Health Services Corporation Health, Sport, Wellness & Fitness Large https://www.AltaMed.org/

1001 - 5000 Employees

See more AltaMed Health Services Corporation offers

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines. This position performs trouble-shooting when problems situations arise and coordinates with leadership.

Minimum Requirements

High School Diploma or equivalent required.
MA or Medical Billing Certificate preferred.
Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required.
Prior experience working in a clinic/health care specialty call center.
Prefer experience in utilization management processing authorization referrals.

Salary Range

$23.00 - $27.65 hourly

Compensation

$24.00 - $28.15 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

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

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.