Temporary Coordinator - Utilization Management Outpatient

Rancho Cucamonga, California

Employer: Experis
Industry: 
Salary: $23.98 per hour
Job type: Part-Time
Job Title: Utilization Management Outpatient
Duration: 6 months
Location: Rancho Cucamonga, CA (Hybrid, Twice in a month)
Pay rate: $23.98/hr.

We are looking for an Utilization Management Outpatient to join one of our Fortune 500 Healthcare clients.

Key Responsibilities:
  • Responsible for monitoring the Right Fax Server. Ensuring all referrals are processed in a timely manner and ensuring compliance with appropriate turnaround timeframes.
  • Responsible for checking the referral form for completeness, obtaining missing demographic information as needed, and initial attempts at coding any uncoded referrals.
  • Responsible for meeting accuracy standards for appropriate authorizations of referrals at the UM Coordinator level.
  • Responsible for representing the Inland Empire Health Plan in a friendly and professional manner while answering the calls for the Utilization Management Department.
  • Communicate with providers in consultation with the Utilization Management Nurse, regarding authorizations, modifications, denials, and other matters pertinent to processing authorization requests or other UM related correspondence.
  • Assist Management or Utilization Management Nurses as requested.
Qualifications:
Education & Experience
  • Minimum of three (3) years of experience as a data entry specialist or coordinator
  • High school diploma or GED required
Key Qualifications
  • Requires knowledge of ICD-9/10 and CPT codes
  • Managed Care or physician office a must
  • Skilled in computer applications, including word processing, database, and spreadsheets
  • Good customer service skills

We are looking for the candidate who are eligible to work with any employers without sponsorship.

If you're interested, please click “Apply” button.

If you are not available or this job is not a good fit at present, please share the job details with your friends/colleagues and let me know if anyone is interested.
Created: 2024-09-12
Reference: 324218
Country: United States
State: California
City: Rancho Cucamonga
ZIP: 91730

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