AltaMed Health Services
AltaMed Health Services
„AltaMed Health Services“ yra ne pelno siekianti sveikatos priežiūros organizacija, aptarnaujanti įvairias Los Andželo ir Orindžo apygardų bendruomenes. Jos bendruomenės sveikatos priežiūros tinklas 46 vietose teikia pirminę medicinos pagalbą, odontologijos paslaugas ir vyresnio amžiaus žmonių priežiūrą, daugiausia dėmesio skirdamas lengvai prieinamam, aukštos kokybės gydymui ir visos bendruomenės gerovei. „AltaMed“ taip pat padeda žmonėms užsiregistruoti į sveikatos priežiūros programas, taip prisidėdama prie savo misijos padaryti kokybišką sveikatos priežiūrą prieinamesnę visiems.

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.

Aprašymas

  • 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

Reikalavimai

  • 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

Privalumai

  • 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

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