Authorizations Coordinator Temp

1 month ago


Montebello, United States North American Staffing Group Full time
Job DescriptionJob DescriptionMedica Talent Group is excited to share this Temp opportunity with you
We are looking for experienced UM Coordinator seeking a temp to hire opportunity. Our client offers growth and an exciting workplace to join along with competitive salary rates, great benefits , and tuition reimbursement

For immediate consideration, Please submit your resume to: bchairez@medicatg.comPay: $26hr

NOW CONSIDERING NEW GRADS

Overview
This position has primary responsibility for gathering relevant information for the identified member population duringassessment, care planning, interdisciplinary care team meeting, and transitions of care.

Responsibilities:
1. Always Provides excellent customer service, to internal and external customers.
2. Determines specific needs for each clinic and prepares area with appropriate supplies,
equipment, etc.
3. Interviews patients and/or family, reviews patients charts and progress notes to determine
prior visits to the clinic, history, status of follow-up on physicians’ orders and definition of
problems.
4. Refers defined patient needs to physician.
5. Instructs patients’ and/or family as directed by Registered Nurse or Provider.
6. Assists physician with procedures and treatments.
7. Participates in chart review of patients who failed clinic appointments to determine
urgency of follow-up care, contacts social worker when necessary and reviews with clinic
staff the plan for follow-up appointments.
8. Document intake into EHR (for all specialties) and function as a system superuser for EHR.
Follow-up on in-basket message and management tasks.
9. Performs other related duties as assigned.

Qualifications
1. High School Diploma or equivalent required.
2. Prior experience working in a clinic/health care call center.
3. Minimum 2 years of experience working in a health care environment; knowledge of prior authorization and
case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and
commercial programs.
4. Prefer experience in a managed health care environment, preferably IPA, HMO, or Health Plan.
5. Prefer experience working with an ethnically diverse population.6. Experienced with DOFR (division of financial responsibilities)

INDMED
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