AltaMed Health Services एक गैर-लाभकारी स्वास्थ्य सेवा संगठन है, जो लॉस एंजिल्स और ऑरेंज काउंटियों के विविध समुदायों की सेवा करता है। इसका सामुदायिक स्वास्थ्य नेटवर्क 46 केंद्रों के माध्यम से प्राथमिक चिकित्सा, दंत चिकित्सा और वरिष्ठ नागरिकों की देखभाल उपलब्ध कराता है। संगठन सुलभ, उच्च-गुणवत्ता वाले उपचार और पूरे समुदाय के कल्याण पर ध्यान केंद्रित करता है। AltaMed लोगों को स्वास्थ्य सेवा कार्यक्रमों में नामांकन कराने में भी सहायता करता है और गुणवत्तापूर्ण स्वास्थ्य सेवा को सभी के लिए अधिक सुलभ बनाने के अपने मिशन को आगे बढ़ाता है।
Utilization Management Coordinator II - AltaMed (Hybrid, Commerce, CA)
AltaMed Health Services is hiring a hybrid Utilization Management Coordinator II in Commerce, California. The role manages outpatient and inpatient authorization workflows, resolves complex referral issues, and applies state and federal requirements.
विवरण
- Support the Medical Management department
- Process outpatient and inpatient referrals and authorizations promptly while following state and federal guidelines
- Investigate and troubleshoot referral and authorization problems
- Use independent judgment to resolve complex issues
आवश्यकताएँ
- High school diploma or equivalent is required
- At least two years of experience in a medical billing environment is required
- Experience with pre-authorizations and reimbursement rules for Medi-Cal, CCS, and other government programs is required
- Previous experience in utilization management and authorization-referral processing is required
- An MA or medical billing certificate is preferred
- Experience with an IPA or HMO is preferred
- Previous experience in a lead role is preferred
लाभ
- Medical, dental, and vision insurance
- 403(b) retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career advancement and development opportunities
- Paid time off and holidays
- Paid CME days
- Malpractice insurance and tail coverage
- Tuition reimbursement program
- Corporate employee discounts
- Employee referral bonus program
- Pet care insurance
- Discretionary bonuses or incentives may apply