Position
Utilization Management Outpatient Coordinator
Position Overview
Are you an organized individual with a knack for multitasking and a strong understanding of medical terminology and coding?
We are looking for a dedicated professional to join our team as an Outpatient Utilization Management Coordinator. In this high-paced role, you will play a crucial part in processing authorization requests, verifying eligibility, and supporting our Medical and Utilization Management Nurses.
Your ability to maintain the highest level of customer service while handling provider calls will be essential to your success in this position.
Key Responsibilities
- Monitor the Right Fax Server to ensure all referrals are processed in a timely manner, adhering to appropriate turnaround timeframes.
- Check referral forms for completeness, obtain missing demographic information, and make initial attempts at coding any uncoded referrals.
- Meet accuracy standards for appropriate authorizations of referrals at the UM Coordinator level.
- Represent the Inland Empire Health Plan in a friendly and professional manner while answering 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.
Requirements
- Minimum of three () years of experience as a data entry specialist or coordinator.
- Experience as a data entry specialist or coordinator, preferably in an HMO or Managed Care setting.
- High school diploma or GED required; Associate's degree or Bachelor's degree from an accredited institution preferred.
- Medical Assistant certificate preferred.
- Knowledge of ICD- / and CPT codes is essential. Experience in Managed Care or a physician's office is a must.
- Proficiency in computer applications, including word processing, database, and spreadsheets. Excellent customer service skills.
INDH
Per Diem Medical Assistant / Patient Care Coordinator (Pediatrics - La Quinta, CA)
The full salary range for the Per Diem Medical Assistant / Patient Care Coordinator (Pediatrics - La Quinta, CA) is $28. This position performs medical, technical, and administrative support services to contribute to the efficient day-to-day operations, providing a positive patient experience. Clini...
Medical Assistant- Referral Coordinator 24-00781
Are you an organized individual with a knack for multitasking and a strong understanding of medical terminology and coding? We are looking for a dedicated professional to join our team as an Outpatient Utilization Management Coordinator. Check referral forms for completeness, obtain missing demograp...
Medical Assistant- Referral Coordinator 24-00781
Are you an organized individual with a knack for multitasking and a strong understanding of medical terminology and coding? We are looking for a dedicated professional to join our team as an Outpatient Utilization Management Coordinator. Check referral forms for completeness, obtain missing demograp...
Medical Assistant- Authorization Coordinator 24-00795
Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Man...
Medical Assistant- Authorization Coordinator 24-00795
Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Man...
Coordinator, Referral/authorization
Processing patient referrals to specialists and obtain authorization from third party payer. Keep patients informed of the status of the referral and specialist information. At least 1 year clerical experience in a medical office setting. Knowledge of authorization/referral process for HMO/PPO and w...
Medical Office Assistant / Patient Care Coordinator - HYBRID - Sacramento Metro Area
Medical Office Assistant/Care Coordinator (CC). The Care Coordinator works closely with our Nurse Practitioners, RN Case Managers to make sure our patients receive the highest quality care. Assists with the referral process & coordinates provider appointments. Assist the care management staff with i...
Per Diem Medical Assistant / Patient Care Coordinator
Degree Requirement Medical Assistant Diploma. Required Current Medical Assistant Certification. Condition Requirement In lieu of a MA diploma may have a Certificate of Competency with written evidence to validate training and competency as a medical assistant (i. This position performs medical, tech...
Business Tax Accountant - Work From Home - 3+ Yrs Experience Required
You will also have the opportunity to shape the direction of one our newest product offerings, TurboTax Live Business, while working at the #11 ranked company on Fortune’s 100 Best Companies to Work For. You will be working toward advancing our goal of Powering Prosperity Around the World by providi...
Account Specialist (Work from home)
Remote position (Work from home). Comfortable working remotely and independently. ...