Utilization Management Coordinator / Intake Coordinator.
Utilization Management Coordinator / Intake Coordinator Kelly Services has a unique opportunity available for a Utilization Management Coordinator to join our client located in Woodland Hills, CA. As the Utilization Management Coordinator you’ll support and coordinate intake activities/prior authorizations in Medical Management . So, if you’re ready to hit the ground running, then what are you waiting for?! Apply now! TWO SHIFTS AVAILABLE: SHIFT ONE: Saturday-Tuesday:7am-6pm (10 hour shifts- 4 days a week) SHIFT TWO: Monday- Friday: 8am-5:00pm (8 hour shifts- 5 days a week) ROLES AND RESPONSIBILITIES: Accurately and effectively applies policies, benefit and eligibility policies, procedures and standards; requesting assistance of supervisor or appropriately licensed health professional when necessary. Accurately documents all activities as per policy including entry into automated systems. Meets or exceeds established performance goals including but not limited to service, quality, productivity and turn-around time. Professionally interacts with customers, acting as a liaison between the beneficiary, provider, facility and customer Maintains confidentiality of all PHI in compliance with state and federal law and customer's Policy. Reports suspected fraud and abuse as per company policy. Performs required clerical support duties. REQUIRED QUALIFICATIONS: One (1) year experience in a health care, customer service or a managed care setting Experience in Medi-Cal and Medicare. Six (6) months data entry experience. Medical Terminology Prior Authorization / Insurance Verification Medical Billing / Medical Claims or ICD coding is a plus Intermediate to advanced skills in Excel 2010 Excellent verbal and communication skills Professional telephone etiquette and skills Able to work in a fast paced enviroment EDUCATION: Must ha...