Utilization Management Denial Coordinator
Los Angeles, California
Employer: UCLA Health
Industry: Ambulatory/Clinical Care Services
Salary: $43.68 per hour
Job type: Full-Time
Description
Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.
In this key position, you will be the primary point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support the denial and ensuring compliance with all contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them for clinical guidance in resolving cases. You will also document appeals in the tracking system and maintain relevant statistical data.
Salary Range: $ 22.03 - $43.68 Hourly
Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.
In this key position, you will be the primary point of contact for receiving and resolving member denials. You will review denials for accuracy, confirming the receipt of necessary documentation to support the denial and ensuring compliance with all contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them for clinical guidance in resolving cases. You will also document appeals in the tracking system and maintain relevant statistical data.
Salary Range: $ 22.03 - $43.68 Hourly
Created: 2024-06-09
Reference: 20142569
Country: United States
State: California
City: Los Angeles
ZIP: 90291