HealthCare Talent is now a division of Cross Country Healthcare.

Career Gateway

Bridging the gap between your dreams and your current healthcare position.

  • Share this Job

UM Coordinator

Location : Montebello, California
Job Type : Temp/Contract
Reference Code : Altura, MSO
Required Years of Experience : 1 Year
Required Education : High school Diploma or GED
Job Industry : Healthcare - Health Services

Job Description :

Location:


 


Schedule: Full Time / Hours between 8am & 5pm.


 


Pay: $23 - $26 - Depending on Experience


 


Job Type: Temporary Assignment


 


 


 


Job Summary: This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines. This position performs trouble-shooting when problems situations arise and coordinates with leadership.


 


Work Environment:


 


1. Work is in an office environment, climate controlled through central air conditioning.


 2. May have some exposure to outside environments while traveling.




Required Skills and Abilities:



1. Knowledge of medical terminology and coding (e.g., ICD-10, CPT, HCPCS). 


2. Knowledge of the health care industry, preferably managed care. 


3. Knowledge of computer skills in word processing, authorization systems and spreadsheets. 


4. Ability to type a min. of 30 words per minute. 


5. Knowledge of HIPAA Guidelines including the PHI privacy requirements. 


6. Exceptional organizational skills. 7. Bilingual English/Spanish preferred.


Required Qualifications :
Specifications / Experience:


1. High School Diploma or equivalent required. 

2. MA or Medical Billing Certificate preferred. 

3. Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required. 

4. Prior experience working in a clinic/health care specialty call center. 

5. Prefer experience in utilization management processing authorization referrals.
Powered by AkkenCloud