Bi-lingual Spanish Authorization Tech

Location: Los Angeles
Posted on: November 14, 2024

Job Description:

Well known company has a need for Medical Authorizations Technicians 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.

EDUCATION: High School Diploma or Equivalent, Associate or Bachelor's degree preferred. Medical Terminology, CPT/ ICD.9 coding.

Please forward resume to Stephanie Duarte for immediate consideration.

We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Rancho Santa Margarita , Bi-lingual Spanish Authorization Tech, Healthcare , Los Angeles, California