Medical Authorizations Technician Needed

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POST DATE 9/12/2016
END DATE 10/23/2016

ACT-1 Los Angeles, CA

Company
ACT-1
Job Classification
Full Time
Company Ref #
23178065.1489
AJE Ref #
576143839
Location
Los Angeles, CA
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
Well known company has a need for Medical Authorizations Technicians

**Bilingual Spanish a plus

Duties: The Authorization Technician supports the UM Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up. Collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports.

In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto criteria, maintains confidentiality when communicating member information, and assists with the communication of determinations by preparing template letters for members/ providers, with other duties as assigned.

QUALIFICATIONS & REQUIREMENTS

EDUCATION:
Required: High School Diploma, Associate or Bachelor's degree preferred.
Preferred: Associate Degree, Bachelor's Degree

LICENSES/CERTIFICATIONS:
Required: Medical Terminology
Preferred: CPT/ ICD.9 coding

EXPERIENCE:
Required: At least one year of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant; knowledge of medical terminology and ICD-9 and CPT codes; strong verbal and written communication skills; proficiency with Microsoft Word, Excel, Access (A PLUS) ; and excellent organizational, interpersonal and time management skills. Must be detail-oriented and an enthusiastic team player. Knowledge of MHC and/or CSIIM computer systems a plus.

Preferred: Knowledge of MHC and CSIIM computer system

To apply for this great position as a Medical Authorizations Technician/UM Coordinator today! Please forward resume to Azuri Ross for immediate consideration.
We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.