We are looking for a detail-oriented Data Entry Clerk to support utilization management operations for a healthcare organization in Westminster, California. This Long-term Contract position focuses on coordinating authorization-related records, maintaining accurate case information, and communicating with members and providers to keep review activities moving efficiently. The role is ideal for someone who is comfortable handling high-volume administrative work, following compliance-driven procedures, and ensuring documentation is complete and properly organized.

Responsibilities:

• Enter, update, and maintain authorization information in designated systems with a high degree of accuracy.
• Communicate by phone with providers and members to share status updates and obtain missing records needed for review.
• Track open cases and follow established timelines to help meet required turnaround standards.
• Upload, sort, and verify clinical and administrative documents so files remain complete and easy to access.
• Assist with preparing and distributing approval and denial correspondence in accordance with departmental procedures.
• Maintain daily logs, status reports, and other tracking tools that support utilization management activities.
• Identify urgent, incomplete, or complex cases and refer them to nurses or medical leadership when appropriate.
• Help organize materials for audits, compliance reviews, and regulatory reporting requirements.
• Participate in team meetings, training sessions, and other department support activities as needed.