UM Coordinator

Job Description

We are seeking an UM Coordinator to join the team! This is a temp to hire position! Full details below:

Location: Montebello, CA

Schedule: Full Time - On Site from 8am - 5pm

Pay: $23 - $26 an hour- Depending on Experience

Job Type: 3 Month Temporary Assignment

Job Overview: 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.

Requirements:

High School Diploma or equivalent required.

MA or Medical Billing Certificate preferred.

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.

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

Prefer experience in utilization management processing authorization referrals

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

Bilingual English/Spanish preferred.