AltaMed Health Services
AltaMed Health Services
AltaMed Health Services este o organizație nonprofit de servicii medicale care sprijină comunități diverse din comitatele Los Angeles și Orange. Rețeaua sa comunitară de sănătate oferă servicii medicale primare, servicii stomatologice și îngrijire pentru vârstnici în 46 de locații, punând accent pe tratamente accesibile și de înaltă calitate, precum și pe bunăstarea întregii comunități. AltaMed îi ajută, de asemenea, pe oameni să se înscrie în programe de asistență medicală, susținându-și misiunea de a face serviciile medicale de calitate mai accesibile tuturor.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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