Non-Clinical - Administrative - Authorization Rep Non-Clinical

Details

Client Name

Sansum Clinic Foothill Medical & Surgical Center

Job Type

Travel

Offering

Non-Clinical

Profession

Non-Clinical

Specialty

Admin Assistant

Job ID

35444592

Job Title

Non-Clinical - Administrative - Authorization Rep @ Non-Clinical - Sansum Clinic 415 Patterson Ave

Weekly Pay

$1008.68

Shift Details

Shift

Day - 8x5 - 08AM

Scheduled Hours

40

Job Order Details

Start Date

05/11/2026

End Date

11/09/2026

Duration

26 Week(s)

Job Description

Job Title: Authorization Representative

Profession: Non-Clinical - Administrative

Specialty: Authorization Rep

Duration: 26 weeks

Shift: Day

Hours per Shift: 8 hours (09:00 - 17:00)

Experience: Minimum years of experience required

License: Not specified

Certifications: Not specified

Must-Have: HS Diploma or equivalent education/experience

Description:

Processes referral requests for patients to achieve timely and accurate determinations.

Works within the scope of practice to complete or forward requests as appropriate to managed care physicians and/or nurses as per the Utilization Management protocols.

Maintains required turnaround times for referral completion.

Assists providers and patients with referral status questions.

Participates in the development and implementation of improvements to the referral process and workflows.

Processes referrals per standard work and refers others to nurses and/or MDs as necessary.

Maintains accuracy with attention to detail in each referral.

Monitors daily pending referrals to ensure timeliness standards are met and customer service is maximized.

Reports anticipated problems to the Supervisor and/or other stakeholders.

Documents updated status in referrals per standard work.

Provides necessary medical information to obtain final determinations when required.

Documents determinations in referrals as per standard work.

Knowledge of medical terminology, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) coding is required.

Competency in using MS Office Excel and Word and other managed care programs is necessary.

Ability to identify, understand, and solve problems related to claims and referrals is critical.

Effective communication skills, including an understanding of medical concepts, the ability to organize thoughts, and communicate issues concisely and effectively are essential.

Proven ability to quickly adjust to changing projects and priorities and to multi-task is required.

Strong organizational skills are necessary.

7-Year work history verification is required for all candidates.

Candidates must provide accurate work history information going back 7 years from their start date and may be required to provide documentation or contacts for verification if needed.

Client Details

Address

4151 Foothill Rd

City

Santa Barbara

State

CA

Zip Code

93110

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