Concurrent Review / Authorizations Assistant

Location: Anaheim
Posted on: November 14, 2024

Job Description:

We have an immediate need for a qualified Authorizations Assistant with concurrent review experience to provide office and referral management support to inpatient Case Managers.

Position Summary:

? Receive inpatient requests via fax, phone, or electronically and enters data of the new case information into the medical management system

? Assist the inpatient Case Manager in gathering medical records, obtaining appropriate coding for diagnosis and procedures, discharge dates, dispositions, and conducts follow up phone calls per concurrent review team standards.

? Provide effective, efficient and courteous interaction with facilities, providers, members and their family, under the direction of a Registered Nurse.

? Other administrative assistance as needed

Minimum Qualifications:

? 2 years of Concurrent Review / authorizations experience

? Hospital background helpful

? Knowledgeable in Concurrent Review protocols pertaining to referral matters

? Ability to communicate effectively; both verbally and in writing

? Well versed in Medical terminology.

? ICD-9/ICD-10 coding.

? Medi-Cal benefits and regulations knowledge

? Computer literate

? Bilingual English / Spanish a plus

? High school diploma or equivalent required

If you meet the above qualifications, please submit your resume 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 , Concurrent Review / Authorizations Assistant, Healthcare , Anaheim, California