NearbyLA

UM Coordinator

Astiva Health

Full-time
$23/hr
No experience
Posted 3mo ago

About the job

Understands and follows Utilization Management Policies and Procedures pertaining to the referral process. Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers Responds to all incoming calls and/or follows up calls in a timely manner. Performs the necessary research for determining a satisfactory disposition. Voice mail is checked promptly after breaks and lunches. Works with the Membership Management and Claims and contracting Departments on an…

Location

King, Orange County

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