JOB SUMMARY
The UM Services Assistant provides administrative support to the Utilization Management team facilitating the timely and accurate processing of authorizations.  
 
JOB DUTIES

• Open and process UM incoming faxes periodically throughout the business day
• Answer phones: Providing customer service to calls from providers and /or members
• Scan any faxes to existing authorizations in the system
• Route medical reviewer's cases to appropriate personnel in timely manner on a daily basis
• Verify duplicate requests and call/notify doctor's office of referral request cancellations
• Data entry, faxing, correspondence and other duties as assigned

 
QUALIFICATIONS

• High School Diploma or equivalent required
• Minimum 1-year authorizations/referral processing experience highly desired
• Knowledge of Medi-Cal/Medicare guidelines preferred
• Proficiency in 10-key and MS Office applications
• Ability to work effectively and accurately in a fast-paced environment  
• Strong work ethic, detail oriented and self-motivated

POSITION CLASSIFICATION & COMPENSATION

• Full-Time/Contract/Non-Exempt
• $16.00/hr