Utilization Management Coordinator I

Work Boldly. Live Brilliantly.

At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.

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.

Minimum 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.

Salary Range

• $23.00 - $27.65 hourly

Benefits & Career Development

• Medical, Dental and Vision insurance

• 403(b) Retirement savings plans with employer matching contributions

• Flexible Spending Accounts

• Commuter Flexible Spending

• Career Advancement & Development opportunities

• Paid Time Off & Holidays

• Paid CME Days

• Malpractice insurance and tail coverage

• Tuition Reimbursement Program

• Corporate Employee Discounts

• Employee Referral Bonus Program

• Pet Care Insurance