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Montebello

    Utilization Management Coordinator II - Montebello, United States - AltaMed

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    Description
    Work Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them.

    We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone.

    And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.

    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 takes independent action to resolve complex issues.


    Minimum Requirements Education and Experience:
    1. High School Diploma or equivalent required. 2. MA or Medical Billing Certificate preferred. 3.

    Minimum 2 years 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.

    4. Prior experience in utilization management processing authorization referrals also required. 5. Prefer prior Lead position experience.

    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 Salary Range $ $28.

    15 hourly


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