Experis
Temporary Coordinator - Utilization Management Outpatient
Experis, Rancho Cucamonga, California, United States, 91739
Job Title: Utilization Management OutpatientDuration: 6 monthsLocation: 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 coordinatorHigh school diploma or GED requiredKey Qualifications
Requires knowledge of ICD-9/10 and CPT codesManaged Care or physician office a mustSkilled in computer applications, including word processing, database, and spreadsheetsGood 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.
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 coordinatorHigh school diploma or GED requiredKey Qualifications
Requires knowledge of ICD-9/10 and CPT codesManaged Care or physician office a mustSkilled in computer applications, including word processing, database, and spreadsheetsGood 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.