UM Services Assistant

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  • 19-00011
  • Full Time/Contract
  • Utilization Management
  • Pasadena, CA
Job Description
CLIENT COMPANY OVERVIEW.
Our client is an innovative network of providers delivering innovative and quality care to patients from Northern to Southern California.

 
JOB TITLE
UM Services Assistant

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  

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